2020 CPT/HCPCS Primary Code | 84479 |
Negotiated Private Fee | $14.00 |
Prossam | $12.00 |
Champva | $6.47 |
First Medical | $10.00 |
First Medical Vital | $6.17 |
Plan de Salud Menonita | $13.00 |
Menonita Vital | $6.17 |
Humana Gold plus/ Gold choice | $6.47 |
Humana | $11.00 |
Mapfre | $15.00 |
Mcs Classicare | $6.47 |
MCS Life | $8.81 |
Medicare | $6.47 |
MMM | $9.17 |
MMM Vital | $5.59 |
Panamerican Life | $15.00 |
PMC | $9.17 |
Tricare | $6.47 |
Triple S Salud | $10.00 |
Triple S Vital | $9.63 |
Triple S Advantage | $15.96 |
Negotiated Minimum Charge | $5.59 |
Negotiated Maximus Charge | $15.96 |
Discounted Cash Price | $11.20 |
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