2020 CPT/HCPCS Primary Code | 84480 |
Negotiated Private Fee | 18.00 |
Prossam | $25.00 |
Champva | $14.18 |
First Medical | $24.00 |
First Medical Vital | $13.52 |
Plan de Salud Menonita | $22.00 |
Menonita Vital | $13.52 |
Humana Gold plus/ Gold choice | $14.18 |
Humana | $26.00 |
Mapfre | $35.00 |
Mcs Classicare | $14.18 |
MCS Life | $36.00 |
Medicare | $14.18 |
MMM | $20.08 |
MMM Vital | $12.26 |
Panamerican Life | $45.00 |
PMC | $20.08 |
Tricare | $14.18 |
Triple S Salud | $25.40 |
Triple S Vital | $21.08 |
Triple S Advantage | $35.02 |
Negotiated Minimum Charge | $12.26 |
Negotiated Maximus Charge | $45.00 |
Discounted Cash Price | $14.40 |
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