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Lipase

2020 CPT/HCPCS Primary Code 83690
Negotiated Private Fee $7.00
Prossam $9.00
Champva $6.89
First Medical $8.00
First Medical Vital $6.57
Plan de Salud Menonita $8.00
Menonita Vital $6.57
Humana Gold plus/ Gold choice $6.89
Humana $10.00
Mapfre $15.00
Mcs Classicare $6.89
MCS Life $9.60
Medicare $6.89
MMM $9.76
MMM Vital $5.96
Panamerican Life $12.00
PMC $9.76
Tricare $6.89
Triple S Salud $8.49
Triple S Vital $10.25
Triple S Advantage $17.02
Negotiated Minimum Charge $5.96
Negotiated Maximus Charge $17.02
Discounted Cash Price $5.60

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