2020 CPT/HCPCS Primary Code | 80069 |
Negotiated Private Fee | $14.00 |
Prossam | $20.00 |
Champva | $8.68 |
First Medical | $20.00 |
First Medical Vital | $8.28 |
Plan de Salud Menonita | $12.00 |
Menonita Vital | $8.28 |
Humana Gold plus/ Gold choice | $8.68 |
Humana | $20.00 |
Mapfre | $53.00 |
Mcs Classicare | $8.68 |
MCS Life | $16.00 |
Medicare | $8.68 |
MMM | $12.30 |
MMM Vital | $7.50 |
Panamerican Life | $70.00 |
PMC | $12.30 |
Tricare | $8.68 |
Triple S Salud | $12.21 |
Triple S Vital | $12.92 |
Triple S Advantage | $21.44 |
Negotiated Minimum Charge | $7.50 |
Negotiated Maximus Charge | $70.00 |
Discounted Cash Price | $11.20 |
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