2020 CPT/HCPCS Primary Code | 87045 |
Negotiated Private Fee | $13.00 |
Prossam | $20.00 |
Champva | $9.44 |
First Medical | $20.00 |
First Medical Vital | $9.00 |
Plan de Salud Menonita | $21.00 |
Menonita Vital | $9.00 |
Humana Gold plus/ Gold choice | $9.44 |
Humana | $21.00 |
Mapfre | $25.00 |
Mcs Classicare | $9.44 |
MCS Life | $22.40 |
Medicare | $9.44 |
MMM | $13.36 |
MMM Vital | $8.16 |
Panamerican Life | $28.00 |
PMC | $13.36 |
Tricare | $9.44 |
Triple S Salud | $21.00 |
Triple S Vital | $14.03 |
Triple S Advantage | $23.32 |
Negotiated Minimum Charge | $8.16 |
Negotiated Maximus Charge | $28.00 |
Discounted Cash Price | $10.40 |
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