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XR scapula

2020 CPT/HCPCS 73010
Negotiated Private Fee $40.00
Prossam $17.00
Champva $24.21
First Medical $19.00
First Medical Vital $19.82
Plan de Salud Menonita $23.00
Menonita Vital $21.78
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $23.00
Mapfre $24.00
Mcs Classicare $24.00
MCS Life $24.00
Medicare Ambulatory Payment classification (APC)
MMM $23.87
MMM Vital $21.78
Panamerican Life $29.00
PMC $23.87
Tricare $24.70
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 $24.70
Discounted Cash Price $32.00

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