2020 CPT/HCPCS Primary Code | 87040 |
Negotiated Private Fee | $15.00 |
Prossam | $20.00 |
Champva | $10.32 |
First Medical | $24.00 |
First Medical Vital | $9.85 |
Plan de Salud Menonita | $20.00 |
Menonita Vital | $9.85 |
Humana Gold plus/ Gold choice | $10.32 |
Humana | $24.00 |
Mapfre | $30.00 |
Mcs Classicare | $10.32 |
MCS Life | $28.00 |
Medicare | $10.32 |
MMM | $14.62 |
MMM Vital | $8.92 |
Panamerican Life | $35.00 |
PMC | $14.62 |
Tricare | $10.32 |
Triple S Salud | $25.00 |
Triple S Vital | $15.35 |
Triple S Advantage | $25.48 |
Negotiated Minimum Charge | $8.92 |
Negotiated Maximus Charge | $35.00 |
Discounted Cash Price | $12.00 |
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