2020 CPT/HCPCS Primary Code | 84478 |
Negotiated Private Fee | $8.00 |
Prossam | $12.00 |
Champva | $5.74 |
First Medical | $14.00 |
First Medical Vital | $5.48 |
Plan de Salud Menonita | $15.00 |
Menonita Vital | $5.48 |
Humana Gold plus/ Gold choice | $5.74 |
Humana | $15.00 |
Mapfre | $13.00 |
Mcs Classicare | $5.74 |
MCS Life | $12.00 |
Medicare | $5.74 |
MMM | $8.15 |
MMM Vital | $4.96 |
Panamerican Life | $15.00 |
PMC | $8.15 |
Tricare | $5.74 |
Triple S Salud | $15.00 |
Triple S Vital | $8.56 |
Triple S Advantage | $14.18 |
Negotiated Minimum Charge | $4.96 |
Negotiated Maximus Charge | $15.00 |
Discounted Cash Price | $6.40 |
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