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XR femur minimum 2 views

2020 CPT/HCPCS 73552
Negotiated Private Fee $60.00
Prossam $25.00
Champva $36.16
First Medical $21.00
First Medical Vital $25.31
Plan de Salud Menonita $29.00
Menonita Vital $24.65
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $26.00
Mapfre $24.00
Mcs Classicare $24.58
MCS Life $24.58
Medicare Ambulatory Payment classification (APC)
MMM $24.57
MMM Vital $24.65
Panamerican Life Not Covered
PMC $24.57
Tricare $36.57
Triple S Salud $29.00
Triple S Vital $13.32
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $13.32
Negotiated Maximus Charge $36.57
Discounted Cash Price $48.00

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