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XR facial bones less 3 views

2020 CPT/HCPCS 70140
Negotiated Private Fee $25.00
Prossam $17.00
Champva $32.99
First Medical $19.00
First Medical Vital $23.09
Plan de Salud Menonita $24.00
Menonita Vital $22.36
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $26.00
Mapfre $24.00
Mcs Classicare $24.00
MCS Life $24.00
Medicare Ambulatory Payment classification (APC)
MMM $22.77
MMM Vital $22.36
Panamerican Life $30.00
PMC $22.77
Tricare $33.42
Triple S Salud $31.00
Triple S Vital $11.74
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $17.00
Negotiated Maximus Charge $32.99
Discounted Cash Price $20.00

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