2020 CPT/HCPCS Primary Code | 84300 |
Negotiated Private Fee | $12.00 |
Prossam | $7.00 |
Champva | $5.06 |
First Medical | $6.00 |
First Medical Vital | $4.64 |
Plan de Salud Menonita | $8.00 |
Menonita Vital | $4.64 |
Humana Gold plus/ Gold choice | $5.06 |
Humana | $6.00 |
Mapfre | $8.00 |
Mcs Classicare | $5.06 |
MCS Life | $6.63 |
Medicare | $5.06 |
MMM | $6.89 |
MMM Vital | $4.20 |
Panamerican Life | $8.00 |
PMC | $6.89 |
Tricare | $5.06 |
Triple S Salud | $6.00 |
Triple S Vital | $7.23 |
Triple S Advantage | $12.00 |
Negotiated Minimum Charge | $4.20 |
Negotiated Maximus Charge | $12.00 |
Discounted Cash Price | $9.60 |
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