2020 CPT/HCPCS Primary Code | 84460 |
Negotiated Private Fee | $6.00 |
Prossam | $8.00 |
Champva | $5.30 |
First Medical | $8.00 |
First Medical Vital | $5.05 |
Plan de Salud Menonita | $7.00 |
Menonita Vital | $5.05 |
Humana Gold plus/ Gold choice | $5.30 |
Humana | $8.00 |
Mapfre | $10.00 |
Mcs Classicare | $5.30 |
MCS Life | $8.00 |
Medicare | $5.30 |
MMM | $7.50 |
MMM Vital | $4.58 |
Panamerican Life | $10.00 |
PMC | $7.50 |
Tricare | $5.30 |
Triple S Salud | $8.00 |
Triple S Vital | $7.88 |
Triple S Advantage | $13.08 |
Negotiated Minimum Charge | $4.58 |
Negotiated Maximus Charge | $13.08 |
Discounted Cash Price | $4.80 |
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