2020 CPT/HCPCS Primary Code | 85025 |
Negotiated Private Fee | $10.00 |
Prossam | $8.00 |
Champva | $7.77 |
First Medical | $9.00 |
First Medical Vital | $7.41 |
Plan de Salud Menonita | $8.00 |
Menonita Vital | $7.41 |
Humana Gold plus/ Gold choice | $7.77 |
Humana | $9.00 |
Mapfre | $11.00 |
Mcs Classicare | $7.77 |
MCS Life | $9.00 |
Medicare | $7.77 |
MMM | $11.02 |
MMM Vital | $6.71 |
Panamerican Life | $11.00 |
PMC | $11.02 |
Tricare | $7.77 |
Triple S Salud | $9.00 |
Triple S Vital | $11.57 |
Triple S Advantage | $19.18 |
Negotiated Minimum Charge | $6.71 |
Negotiated Maximus Charge | $19.18 |
Discounted Cash Price | $8.00 |
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