2020 CPT/HCPCS Primary Code | 89055 |
Negotiated Private Fee | $7.00 |
Prossam | $5.00 |
Champva | $4.27 |
First Medical | $8.00 |
First Medical Vital | $4.07 |
Plan de Salud Menonita | Not covered |
Menonita Vital | $4.07 |
Humana Gold plus/ Gold choice | $4.27 |
Humana | $8.00 |
Mapfre | $10.00 |
Mcs Classicare | $4.27 |
MCS Life | $6.40 |
Medicare | $4.27 |
MMM | $6.05 |
MMM Vital | $3.69 |
Panamerican Life | Not covered |
PMC | $6.05 |
Tricare | $4.27 |
Triple S Salud | Not Covered |
Triple S Vital | Not Covered |
Triple S Advantage | $10.54 |
Negotiated Minimum Charge | $3.69 |
Negotiated Maximus Charge | $10.54 |
Discounted Cash Price | $5.60 |
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