2020 CPT/HCPCS Primary Code | 80053 |
Negotiated Private Fee | $15.00 |
Prossam | $21.00 |
Champva | $10.56 |
First Medical | $24.00 |
First Medical Vital | $10.07 |
Plan de Salud Menonita | $25.00 |
Menonita Vital | $14.39 |
Humana Gold plus/ Gold choice | $10.56 |
Humana | $20.00 |
Mapfre | $55.00 |
Mcs Classicare | $10.56 |
MCS Life | $19.20 |
Medicare | $10.56 |
MMM | $14.97 |
MMM Vital | $9.13 |
Panamerican Life | $30.00 |
PMC | $14.97 |
Tricare | $10.56 |
Triple S Salud | $17.50 |
Triple S Vital | $15.72 |
Triple S Advantage | $26.08 |
Negotiated Minimum Charge | $9.13 |
Negotiated Maximus Charge | $55.00 |
Discounted Cash Price | $12.00 |
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