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XR knee 4 or more views

2020 CPT/HCPCS 73564
Negotiated Private Fee $70.00
Prossam $23.00
Champva $47.06
First Medical $35.00
First Medical Vital $32.94
Plan de Salud Menonita $25.00
Menonita Vital $31.27
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $30.00
Mapfre $32.00
Mcs Classicare $35.00
MCS Life $35.00
Medicare Ambulatory Payment classification (APC)
MMM $40.20
MMM Vital $31.27
Panamerican Life $36.00
PMC $40.20
Tricare $48.07
Triple S Salud $35.00
Triple S Vital $30.72
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $23.00
Negotiated Maximus Charge $47.06
Discounted Cash Price $56.00

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