2020 CPT/HCPCS Primary Code | 85045 |
Negotiated Private Fee | $5.00 |
Prossam | $4.00 |
Champva | $3.99 |
First Medical | $5.00 |
First Medical Vital | $3.82 |
Plan de Salud Menonita | Not covered |
Menonita Vital | $3.82 |
Humana Gold plus/ Gold choice | $3.99 |
Humana | $9.00 |
Mapfre | $8.00 |
Mcs Classicare | $3.99 |
MCS Life | $5.45 |
Medicare | $3.99 |
MMM | $5.67 |
MMM Vital | $3.45 |
Panamerican Life | $8.00 |
PMC | $5.67 |
Tricare | $3.99 |
Triple S Salud | Not Covered |
Triple S Vital | Not Covered |
Triple S Advantage | $9.86 |
Negotiated Minimum Charge | $3.45 |
Negotiated Maximus Charge | $9.86 |
Discounted Cash Price | $4.00 |
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