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XR cervical spine 6 or more views

2020 CPT/HCPCS 72052
Negotiated Private Fee $95.00
Prossam $40.00
Champva $63.57
First Medical $45.00
First Medical Vital $44.49
Plan de Salud Menonita $50.00
Menonita Vital $42.46
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $51.00
Mapfre $48.00
Mcs Classicare $50.00
MCS Life $50.00
Medicare Ambulatory Payment classification (APC)
MMM $46.72
MMM Vital $42.46
Panamerican Life $60.00
PMC $46.72
Tricare $64.43
Triple S Salud $55.00
Triple S Vital $23.04
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $23.04
Negotiated Maximus Charge $64.43
Discounted Cash Price $76.00

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