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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