2020 CPT/HCPCS | 73000 |
Negotiated Private Fee | $80.00 |
Prossam | $12.00 |
Champva | $33.00 |
First Medical | $14.00 |
First Medical Vital | $22.37 |
Plan de Salud Menonita | $20.00 |
Menonita Vital | $22.37 |
Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
Humana | $20.00 |
Mapfre | $22.00 |
Mcs Classicare | $16.00 |
MCS Life | $16.00 |
Medicare | Ambulatory Payment classification (APC) |
MMM | $21.75 |
MMM Vital | $22.37 |
Panamerican Life | $20.00 |
PMC | $21.75 |
Tricare | $33.43 |
Triple S Salud | $27.00 |
Triple S Vital | $13.66 |
Triple S Advantage | Ambulatory Payment classification (APC) |
Negotiated Minimum Charge | $12.00 |
Negotiated Maximus Charge | $33.43 |
Discounted Cash Price | $64.00 |
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