2020 CPT/HCPCS | 74018 |
Negotiated Private Fee | $50.00 |
Prossam | $12.00 |
Champva | $30.54 |
First Medical | Not covered |
First Medical Vital | $21.37 |
Plan de Salud Menonita | $20.00 |
Menonita Vital | $20.83 |
Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
Humana | $17.00 |
Mapfre | $25.00 |
Mcs Classicare | $16.00 |
MCS Life | $16.00 |
Medicare | Ambulatory Payment classification (APC) |
MMM | $26.78 |
MMM Vital | $20.83 |
Panamerican Life | Not Covered |
PMC | $26.78 |
Tricare | $31.33 |
Triple S Salud | $28.00 |
Triple S Vital | $10.94 |
Triple S Advantage | Ambulatory Payment classification (APC) |
Negotiated Minimum Charge | $10.94 |
Negotiated Maximus Charge | $31.33 |
Discounted Cash Price | $40.00 |
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