XR chest 2 views
| 2020 CPT/HCPCS | 71046 |
| Negotiated Private Fee | $42.00 |
| Prossam | $17.00 |
| Champva | $34.40 |
| First Medical | Not covered |
| First Medical Vital | $24.07 |
| Plan de Salud Menonita | $32.00 |
| Menonita Vital | $23.37 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $23.00 |
| Mapfre | $32.00 |
| Mcs Classicare | $31.09 |
| MCS Life | $31.09 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $30.05 |
| MMM Vital | $23.37 |
| Panamerican Life | Not Covered |
| PMC | $30.05 |
| Tricare | $34.81 |
| Triple S Salud | $32.00 |
| Triple S Vital | $12.27 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $17.00 |
| Negotiated Maximus Charge | $34.40 |
| Discounted Cash Price | $33.60 |
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