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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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