2020 CPT/HCPCS Primary Code | 84443 |
Negotiated Private Fee | $21.00 |
Prossam | $36.00 |
Champva | $16.80 |
First Medical | $30.00 |
First Medical Vital | Not Covered |
Plan de Salud Menonita | $20.00 |
Menonita Vital | $22.08 |
Humana Gold plus/ Gold choice | $16.80 |
Humana | $30.00 |
Mapfre | $40.00 |
Mcs Classicare | $16.80 |
MCS Life | $24.00 |
Medicare | $16.80 |
MMM | $23.80 |
MMM Vital | $14.53 |
Panamerican Life | $50.00 |
PMC | $23.80 |
Tricare | $16.80 |
Triple S Salud | $30.00 |
Triple S Vital | $24.99 |
Triple S Advantage | $41.50 |
Negotiated Minimum Charge | $14.53 |
Negotiated Maximus Charge | $50.00 |
Discounted Cash Price | $16.80 |
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