XR hip 2 – 3 views
| 2020 CPT/HCPCS | 73502 |
| Negotiated Private Fee | $60.00 |
| Prossam | $25.00 |
| Champva | $47.75 |
| First Medical | $26.00 |
| First Medical Vital | $33.43 |
| Plan de Salud Menonita | $30.00 |
| Menonita Vital | $32.28 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $28.00 |
| Mapfre | $31.00 |
| Mcs Classicare | $32.00 |
| MCS Life | $32.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $41.51 |
| MMM Vital | $32.28 |
| Panamerican Life | Not Covered |
| PMC | $41.51 |
| Tricare | $48.76 |
| Triple S Salud | $30.00 |
| Triple S Vital | $16.95 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $25.00 |
| Negotiated Maximus Charge | $48.76 |
| Discounted Cash Price | $48.00 |
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