XR ribs bilateral 3 views
| 2020 CPT/HCPCS | 71110 |
| Negotiated Private Fee | $90.00 |
| Prossam | $29.00 |
| Champva | $44.92 |
| First Medical | $33.00 |
| First Medical Vital | $31.44 |
| Plan de Salud Menonita | $30.00 |
| Menonita Vital | $30.74 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $31.00 |
| Mapfre | $40.00 |
| Mcs Classicare | $29.06 |
| MCS Life | $35.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $31.03 |
| MMM Vital | $30.74 |
| Panamerican Life | $40.00 |
| PMC | $31.03 |
| Tricare | $45.60 |
| Triple S Salud | $40.00 |
| Triple S Vital | $16.89 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $16.89 |
| Negotiated Maximus Charge | $45.60 |
| Discounted Cash Price | $72.00 |
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