Vancomycin
| 2020 CPT/HCPCS Primary Code | 80202 |
| Negotiated Private Fee | $32.00 |
| Prossam | $74.00 |
| Champva | $13.54 |
| First Medical | $40.00 |
| First Medical Vital | $12.92 |
| Plan de Salud Menonita | $29.00 |
| Menonita Vital | $12.92 |
| Humana Gold plus/ Gold choice | $13.54 |
| Humana | $70.00 |
| Mapfre | $61.00 |
| Mcs Classicare | $13.54 |
| MCS Life | $50.40 |
| Medicare | $13.54 |
| MMM | $19.19 |
| MMM Vital | $11.70 |
| Panamerican Life | $50.00 |
| PMC | $19.19 |
| Tricare | $13.54 |
| Triple S Salud | $73.99 |
| Triple S Vital | $20.15 |
| Triple S Advantage | $33.44 |
| Negotiated Minimum Charge | $11.70 |
| Negotiated Maximus Charge | $74.00 |
| Discounted Cash Price | $25.60 |
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