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Evaluation of Speech Sound Production

2020 CPT/HCPCS/DRG 92522
Negotiated Private Fee $150.00
Prossam $55.00
Champva $114.75
First Medical $30.00
First Medical Vital $26.32
Plan de Salud Menonita $30.00
Menonita Vital $66.34
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $80.30
Mapfre No Contracted
Mcs Classicare $16.24
MCS Life $16.24
Medicare Ambulatory Payment classification (APC)
MMM By Therapy Network
MMM Vital Not Contracted
Panamerican Life Not Contracted
PMC By Therapy Network
Tricare $114.16
Triple S Salud Not Covered
Triple S Vital Not Covered
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $16.24
Negotiated Maximus Charge $114.75
Discounted Cash Price $120.00

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