Carbon dioxido (bicarbonate) (CO2)
| 2020 CPT/HCPCS Primary Code | 82374 |
| Negotiated Private Fee | $6.00 |
| Prossam | $10.00 |
| Champva | $4.88 |
| First Medical | $8.00 |
| First Medical Vital | $4.66 |
| Plan de Salud Menonita | $8.00 |
| Menonita Vital | $4.66 |
| Humana Gold plus/ Gold choice | $4.88 |
| Humana | $6.00 |
| Mapfre | $10.00 |
| Mcs Classicare | $4.88 |
| MCS Life | $6.66 |
| Medicare | $4.88 |
| MMM | $6.93 |
| MMM Vital | $4.22 |
| Panamerican Life | $8.00 |
| PMC | $6.93 |
| Tricare | $4.88 |
| Triple S Salud | $10.00 |
| Triple S Vital | $7.28 |
| Triple S Advantage | $12.06 |
| Negotiated Minimum Charge | $4.22 |
| Negotiated Maximus Charge | $12.06 |
| Discounted Cash Price | $4.80 |
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