XR ribs unilateral including posteroanterior chest minimum 3 views
| 2020 CPT/HCPCS | 71101 |
| Negotiated Private Fee | $55.00 |
| Prossam | $23.00 |
| Champva | $43.17 |
| First Medical | $35.00 |
| First Medical Vital | $26.29 |
| Plan de Salud Menonita | $30.00 |
| Menonita Vital | $29.22 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $31.00 |
| Mapfre | $31.00 |
| Mcs Classicare | $30.00 |
| MCS Life | $30.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $30.11 |
| MMM Vital | $29.22 |
| Panamerican Life | $40.00 |
| PMC | $30.11 |
| Tricare | $45.60 |
| Triple S Salud | $31.00 |
| Triple S Vital | $14.33 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $14.33 |
| Negotiated Maximus Charge | $45.60 |
| Discounted Cash Price | $44.00 |
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