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XR hand minimum 3 views

2020 CPT/HCPCS 73130
Negotiated Private Fee $65.00
Prossam $17.00
Champva $37.22
First Medical $26.00
First Medical Vital $26.05
Plan de Salud Menonita $27.00
Menonita Vital $24.91
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $27.00
Mapfre $32.00
Mcs Classicare $30.00
MCS Life $30.00
Medicare Ambulatory Payment classification (APC)
MMM $24.40
MMM Vital $24.91
Panamerican Life $30.00
PMC $24.40
Tricare $37.96
Triple S Salud $28.00
Triple S Vital $24.58
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $17.00
Negotiated Maximus Charge $37.96
Discounted Cash Price $52.00

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