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XR wrist minimum 3 views

2020 CPT/HCPCS 73110
Negotiated Private Fee $50.00
Prossam $23.00
Champva $41.44
First Medical $26.00
First Medical Vital $29.01
Plan de Salud Menonita $28.00
Menonita Vital $27.71
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $27.00
Mapfre $32.00
Mcs Classicare $32.00
MCS Life $32.00
Medicare Ambulatory Payment classification (APC)
MMM $28.09
MMM Vital $27.71
Panamerican Life $32.00
PMC $28.09
Tricare $42.50
Triple S Salud $28.00
Triple S Vital $26.24
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $23.00
Negotiated Maximus Charge $42.50
Discounted Cash Price $40.00

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