2020 CPT/HCPCS Primary Code | 84075 |
Negotiated Private Fee | $7.00 |
Prossam | $7.00 |
Champva | $5.18 |
First Medical | $7.00 |
First Medical Vital | $4.94 |
Plan de Salud Menonita | $7.00 |
Menonita Vital | $4.94 |
Humana Gold plus/ Gold choice | $5.18 |
Humana | $6.00 |
Mapfre | $10.00 |
Mcs Classicare | $5.18 |
MCS Life | $8.00 |
Medicare | $5.18 |
MMM | $7.33 |
MMM Vital | $4.47 |
Panamerican Life | $10.00 |
PMC | $7.33 |
Tricare | $5.18 |
Triple S Salud | $7.00 |
Triple S Vital | $7.70 |
Triple S Advantage | $12.78 |
Negotiated Minimum Charge | $4.47 |
Negotiated Maximus Charge | $12.78 |
Discounted Cash Price | $5.60 |
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