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Evaluation for use and/or fitting of voice prosthetic device

2020 CPT/HCPCS/DRG 92597
Negotiated Private Fee $150.00
Prossam $55.00
Champva $72.77
First Medical Not covered
First Medical Vital $51.51
Plan de Salud Menonita Not covered
Menonita Vital Not covered
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $75.00
Mapfre No Contracted
Mcs Classicare Not covered
MCS Life Not covered
Medicare Ambulatory Payment classification (APC)
MMM By Therapy Network
MMM Vital Not Contracted
Panamerican Life Not Contracted
PMC By Therapy Network
Tricare $73.90
Triple S Salud Not Covered
Triple S Vital Not Covered
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $51.51
Negotiated Maximus Charge $75.00
Discounted Cash Price $120.00

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