XR skull minimum 4 views
| 2020 CPT/HCPCS | 70260 |
| Negotiated Private Fee | $62.00 |
| Prossam | $32.00 |
| Champva | $45.98 |
| First Medical | $36.00 |
| First Medical Vital | $32.19 |
| Plan de Salud Menonita | $47.00 |
| Menonita Vital | $32.66 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $38.00 |
| Mapfre | $40.00 |
| Mcs Classicare | $35.46 |
| MCS Life | $40.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $36.18 |
| MMM Vital | $32.66 |
| Panamerican Life | $42.00 |
| PMC | $36.18 |
| Tricare | $46.65 |
| Triple S Salud | $47.00 |
| Triple S Vital | $18.43 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $31.51 |
| Negotiated Maximus Charge | $47.00 |
| Discounted Cash Price | $49.60 |
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