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XR hip bilateral 2 views

2020 CPT/HCPCS 73521
Negotiated Private Fee $90.00
Prossam $25.00
Champva $42.13
First Medical $26.00
First Medical Vital $29.49
Plan de Salud Menonita $36.00
Menonita Vital $28.47
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $25.00
Mapfre $30.00
Mcs Classicare $30.05
MCS Life $30.00
Medicare Ambulatory Payment classification (APC)
MMM $36.60
MMM Vital $28.47
Panamerican Life Not Covered
PMC $36.60
Tricare $42.83
Triple S Salud $36.00
Triple S Vital $16.54
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $16.54
Negotiated Maximus Charge $42.83
Discounted Cash Price $72.00

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