XR facial bones minimum 3 Views
| 2020 CPT/HCPCS | 70150 |
| Negotiated Private Fee | $55.00 |
| Prossam | $29.00 |
| Champva | $48.45 |
| First Medical | $32.79 |
| First Medical Vital | $33.92 |
| Plan de Salud Menonita | $35.00 |
| Menonita Vital | $40.00 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $35.00 |
| Mapfre | $40.00 |
| Mcs Classicare | $35.00 |
| MCS Life | $35.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $32.39 |
| MMM Vital | $32.79 |
| Panamerican Life | $40.00 |
| PMC | $32.39 |
| Tricare | $49.45 |
| Triple S Salud | $40.00 |
| Triple S Vital | $17.21 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $29.00 |
| Negotiated Maximus Charge | $48.45 |
| Discounted Cash Price | $44.00 |
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