2020 CPT/HCPCS Primary Code | 84484 |
Negotiated Private Fee | $18.00 |
Prossam | $25.00 |
Champva | $12.47 |
First Medical | $30.00 |
First Medical Vital | $12.06 |
Plan de Salud Menonita | $25.00 |
Menonita Vital | $9.38 |
Humana Gold plus/ Gold choice | $12.47 |
Humana | $70.00 |
Mapfre | $65.00 |
Mcs Classicare | $12.47 |
MCS Life | $24.00 |
Medicare | $12.47 |
MMM | $13.94 |
MMM Vital | $8.73 |
Panamerican Life | $35.00 |
PMC | $13.94 |
Tricare | $12.47 |
Triple S Salud | $25.00 |
Triple S Vital | $14.64 |
Triple S Advantage | $24.94 |
Negotiated Minimum Charge | $4.30 |
Negotiated Maximus Charge | $70.00 |
Discounted Cash Price | $14.40 |
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