XR ribs bilaterall uncluding posteroanterior chest minimum 4 views
| 2020 CPT/HCPCS | 71111 |
| Negotiated Private Fee | $100.00 |
| Prossam | $29.00 |
| Champva | $53.71 |
| First Medical | $43.00 |
| First Medical Vital | $37.60 |
| Plan de Salud Menonita | $35.00 |
| Menonita Vital | $36.60 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $31.00 |
| Mapfre | $40.00 |
| Mcs Classicare | $35.00 |
| MCS Life | $35.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $40.33 |
| MMM Vital | $36.60 |
| Panamerican Life | $35.00 |
| PMC | $40.33 |
| Tricare | $54.66 |
| Triple S Salud | $46.00 |
| Triple S Vital | $19.22 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $19.22 |
| Negotiated Maximus Charge | $54.66 |
| Discounted Cash Price | $80.00 |
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