XR forearm 2 views
| 2020 CPT/HCPCS | 73090 |
| Negotiated Private Fee | $50.00 |
| Prossam | $17.00 |
| Champva | $29.89 |
| First Medical | $19.00 |
| First Medical Vital | $20.89 |
| Plan de Salud Menonita | $24.00 |
| Menonita Vital | $20.59 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $22.00 |
| Mapfre | $24.00 |
| Mcs Classicare | $19.57 |
| MCS Life | $19.57 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $21.06 |
| MMM Vital | $20.59 |
| Panamerican Life | $28.00 |
| PMC | $21.06 |
| Tricare | $30.29 |
| Triple S Salud | $27.00 |
| Triple S Vital | $18.52 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $17.00 |
| Negotiated Maximus Charge | $30.29 |
| Discounted Cash Price | $40.00 |
© 2024 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
Política de Privacidad | Acreditaciones | Price Transparency
