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Protein, total, except by refractometry; serum, plasma or whole blood

2020 CPT/HCPCS Primary Code 84155
Negotiated Private Fee $5.00
Prossam $6.00
Champva $3.67
First Medical $6.00
First Medical Vital $3.50
Plan de Salud Menonita $7.00
Menonita Vital $3.50
Humana Gold plus/ Gold choice $3.67
Humana $7.00
Mapfre $10.00
Mcs Classicare $3.67
MCS Life $8.00
Medicare $3.67
MMM $5.19
MMM Vital $3.17
Panamerican Life $9.00
PMC $5.19
Tricare $3.67
Triple S Salud $6.49
Triple S Vital $5.45
Triple S Advantage $9.06
Negotiated Minimum Charge $3.17
Negotiated Maximus Charge $10.00
Discounted Cash Price $4.00

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