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XR elbow minimum 3 views

2020 CPT/HCPCS 73080
Negotiated Private Fee $60.00
Prossam $23.00
Champva $33.00
First Medical $24.00
First Medical Vital $23.10
Plan de Salud Menonita $30.00
Menonita Vital $22.55
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $27.00
Mapfre $32.00
Mcs Classicare $23.46
MCS Life $32.00
Medicare Ambulatory Payment classification (APC)
MMM $25.09
MMM Vital $22.55
Panamerican Life $32.00
PMC $25.09
Tricare $33.78
Triple S Salud $28.00
Triple S Vital $25.36
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $23.00
Negotiated Maximus Charge $33.78
Discounted Cash Price $48.00

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