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XR elbow 2 views

2020 CPT/HCPCS 73070
Negotiated Private Fee $50.00
Prossam $17.00
Champva $29.84
First Medical $19.00
First Medical Vital $20.89
Plan de Salud Menonita $24.00
Menonita Vital $20.33
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $22.00
Mapfre $24.00
Mcs Classicare $24.00
MCS Life $24.00
Medicare Ambulatory Payment classification (APC)
MMM $26.14
MMM Vital $20.33
Panamerican Life $30.00
PMC $26.14
Tricare $30.29
Triple S Salud $26.00
Triple S Vital $18.52
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $17.00
Negotiated Maximus Charge $30.29
Discounted Cash Price $40.00

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