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Hepatic function panel

2020 CPT/HCPCS Primary Code 80076
Negotiated Private Fee $11.00
Prossam $20.00
Champva $8.17
First Medical $16.00
First Medical Vital $7.79
Plan de Salud Menonita $13.00
Menonita Vital $7.79
Humana Gold plus/ Gold choice $8.17
Humana $17.00
Mapfre $35.00
Mcs Classicare $8.17
MCS Life $11.20
Medicare $8.17
MMM $11.57
MMM Vital $7.06
Panamerican Life $35.00
PMC $11.57
Tricare $8.17
Triple S Salud $13.60
Triple S Vital $12.15
Triple S Advantage $20.18
Negotiated Minimum Charge $7.06
Negotiated Maximus Charge $35.00
Discounted Cash Price $8.80

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