2020 CPT/HCPCS Primary Code | 86301 |
Negotiated Private Fee | $29.00 |
Prossam | $38.00 |
Champva | $20.81 |
First Medical | $30.00 |
First Medical Vital | $21.94 |
Plan de Salud Menonita | $17.00 |
Menonita Vital | $19.19 |
Humana Gold plus/ Gold choice | $20.81 |
Humana | $25.00 |
Mapfre | $55.00 |
Mcs Classicare | $20.81 |
MCS Life | $27.42 |
Medicare | $20.81 |
MMM | $28.51 |
MMM Vital | $17.99 |
Panamerican Life | $60.00 |
PMC | $28.51 |
Tricare | $20.81 |
Triple S Salud | $39.83 |
Triple S Vital | $29.94 |
Triple S Advantage | $51.40 |
Negotiated Minimum Charge | $17.00 |
Negotiated Maximus Charge | $60.00 |
Discounted Cash Price | $23.20 |
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