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XR shoulder minimum 2 views

2020 CPT/HCPCS 73030
Negotiated Private Fee $50.00
Prossam $20.00
Champva $35.10
First Medical $29.00
First Medical Vital $24.58
Plan de Salud Menonita $28.00
Menonita Vital $23.64
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 $30.39
MMM Vital $23.64
Panamerican Life $30.00
PMC $30.39
Tricare $35.86
Triple S Salud $29.00
Triple S Vital $22.42
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $20.00
Negotiated Maximus Charge $35.86
Discounted Cash Price $40.00

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