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Electrolyte panel

2020 CPT/HCPCS Primary Code 80051
Negotiated Private Fee $9.00
Prossam $13.00
Champva $7.01
First Medical $15.00
First Medical Vital $6.69
Plan de Salud Menonita $10.00
Menonita Vital $6.69
Humana Gold plus/ Gold choice $7.01
Humana $13.00
Mapfre $18.00
Mcs Classicare $7.01
MCS Life $12.00
Medicare $7.01
MMM $9.94
MMM Vital $6.06
Panamerican Life $25.00
PMC $9.94
Tricare $7.01
Triple S Salud $10.00
Triple S Vital $10.44
Triple S Advantage $17.32
Negotiated Minimum Charge $6.06
Negotiated Maximus Charge $25.00
Discounted Cash Price $7.20

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