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XR thoracic spine minimum of 4 views

2020 CPT/HCPCS 72074
Negotiated Private Fee $75.00
Prossam $33.00
Champva $45.64
First Medical $39.00
First Medical Vital $31.95
Plan de Salud Menonita $35.00
Menonita Vital $30.75
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $37.00
Mapfre $36.00
Mcs Classicare $39.58
MCS Life $48.00
Medicare Ambulatory Payment classification (APC)
MMM $33.02
MMM Vital $30.75
Panamerican Life $48.00
PMC $33.02
Tricare $46.31
Triple S Salud $39.00
Triple S Vital $17.91
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $17.91
Negotiated Maximus Charge $46.31
Discounted Cash Price $60.00

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