XR chest single view
| 2020 CPT/HCPCS | 71045 |
| Negotiated Private Fee | $25.00 |
| Prossam | $12.00 |
| Champva | $26.31 |
| First Medical | Not covered |
| First Medical Vital | $18.42 |
| Plan de Salud Menonita | $26.00 |
| Menonita Vital | $18.29 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $21.00 |
| Mapfre | $22.00 |
| Mcs Classicare | $20.23 |
| MCS Life | $20.23 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $23.52 |
| MMM Vital | $18.29 |
| Panamerican Life | Not Covered |
| PMC | $23.52 |
| Tricare | $26.80 |
| Triple S Salud | $26.00 |
| Triple S Vital | $9.61 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $12.00 |
| Negotiated Maximus Charge | $26.31 |
| Discounted Cash Price | $20.00 |
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