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Fecal leukocyte

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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