XR cervical spine 4 or 5 Views
| 2020 CPT/HCPCS | 72050 |
| Negotiated Private Fee | $75.00 |
| Prossam | $29.00 |
| Champva | $54.08 |
| First Medical | $33.00 |
| First Medical Vital | $37.85 |
| Plan de Salud Menonita | $35.00 |
| Menonita Vital | $36.09 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $38.00 |
| Mapfre | $39.00 |
| Mcs Classicare | $35.00 |
| MCS Life | $35.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $36.48 |
| MMM Vital | $36.09 |
| Panamerican Life | $40.00 |
| PMC | $36.48 |
| Tricare | $55.37 |
| Triple S Salud | $45.00 |
| Triple S Vital | $18.95 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $18.95 |
| Negotiated Maximus Charge | $55.37 |
| Discounted Cash Price | $60.00 |
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