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Carbon dioxido (bicarbonate) (CO2)

2020 CPT/HCPCS Primary Code 82374
Negotiated Private Fee $6.00
Prossam $10.00
Champva $4.88
First Medical $8.00
First Medical Vital $4.66
Plan de Salud Menonita $8.00
Menonita Vital $4.66
Humana Gold plus/ Gold choice $4.88
Humana $6.00
Mapfre $10.00
Mcs Classicare $4.88
MCS Life $6.66
Medicare $4.88
MMM $6.93
MMM Vital $4.22
Panamerican Life $8.00
PMC $6.93
Tricare $4.88
Triple S Salud $10.00
Triple S Vital $7.28
Triple S Advantage $12.06
Negotiated Minimum Charge $4.22
Negotiated Maximus Charge $12.06
Discounted Cash Price $4.80

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