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XR clavicle

2020 CPT/HCPCS 73000
Negotiated Private Fee $80.00
Prossam $12.00
Champva $33.00
First Medical $14.00
First Medical Vital $22.37
Plan de Salud Menonita $20.00
Menonita Vital $22.37
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $20.00
Mapfre $22.00
Mcs Classicare $16.00
MCS Life $16.00
Medicare Ambulatory Payment classification (APC)
MMM $21.75
MMM Vital $22.37
Panamerican Life $20.00
PMC $21.75
Tricare $33.43
Triple S Salud $27.00
Triple S Vital $13.66
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $12.00
Negotiated Maximus Charge $33.43
Discounted Cash Price $64.00

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