2020 CPT/HCPCS Primary Code | 85730 |
Negotiated Private Fee | $7.00 |
Prossam | $10.00 |
Champva | $6.01 |
First Medical | $8.00 |
First Medical Vital | $5.73 |
Plan de Salud Menonita | $9.00 |
Menonita Vital | $5.73 |
Humana Gold plus/ Gold choice | $6.01 |
Humana | $10.00 |
Mapfre | $10.00 |
Mcs Classicare | $6.01 |
MCS Life | $11.20 |
Medicare | $6.01 |
MMM | $8.50 |
MMM Vital | $5.19 |
Panamerican Life | $14.00 |
PMC | $8.50 |
Tricare | $6.01 |
Triple S Salud | $10.00 |
Triple S Vital | $8.93 |
Triple S Advantage | $14.84 |
Negotiated Minimum Charge | $5.19 |
Negotiated Maximus Charge | $14.84 |
Discounted Cash Price | $5.60 |
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