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XR knee 1 or 2 views

2020 CPT/HCPCS 73560
Negotiated Private Fee $60.00
Prossam $17.00
Champva $35.11
First Medical $19.00
First Medical Vital $24.58
Plan de Salud Menonita $24.00
Menonita Vital $23.89
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $20.00
Mapfre $24.00
Mcs Classicare $24.00
MCS Life $24.00
Medicare Ambulatory Payment classification (APC)
MMM $30.72
MMM Vital $23.89
Panamerican Life $28.00
PMC $30.72
Tricare $35.52
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 $35.52
Discounted Cash Price $48.00

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