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Gram Strain

2020 CPT/HCPCS Primary Code 87205
Negotiated Private Fee $6.00
Prossam $6.00
Champva $4.27
First Medical $6.00
First Medical Vital $4.07
Plan de Salud Menonita $3.00
Menonita Vital $4.07
Humana Gold plus/ Gold choice $4.27
Humana $5.00
Mapfre $10.00
Mcs Classicare $4.27
MCS Life $8.00
Medicare $4.27
MMM $6.05
MMM Vital $3.69
Panamerican Life $14.00
PMC $6.05
Tricare $4.27
Triple S Salud $5.77
Triple S Vital $6.35
Triple S Advantage $10.54
Negotiated Minimum Charge $3.00
Negotiated Maximus Charge $14.00
Discounted Cash Price $4.80

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