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Pregnancy qualitative (HCG)

2020 CPT/HCPCS Primary Code 84703
Negotiated Private Fee $10.00
Prossam $13.00
Champva $7.52
First Medical $15.00
First Medical Vital $7.17
Plan de Salud Menonita $11.00
Menonita Vital $7.17
Humana Gold plus/ Gold choice $7.52
Humana $15.00
Mapfre $21.00
Mcs Classicare $7,52
MCS Life $20.00
Medicare $7.52
MMM $10.64
MMM Vital $6.50
Panamerican Life $25.00
PMC $10.64
Tricare $7.52
Triple S Salud $15.00
Triple S Vital $11.17
Triple S Advantage $18.58
Negotiated Minimum Charge $3.38
Negotiated Maximus Charge $25.00
Discounted Cash Price $8.00

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