2020 CPT/HCPCS Primary Code | 84520 |
Negotiated Private Fee | $5.00 |
Prossam | $6.00 |
Champva | $3.95 |
First Medical | $7.00 |
First Medical Vital | $3.77 |
Plan de Salud Menonita | $6.00 |
Menonita Vital | $3.77 |
Humana Gold plus/ Gold choice | $3.95 |
Humana | $6.00 |
Mapfre | $10.00 |
Mcs Classicare | $3.95 |
MCS Life | $5.60 |
Medicare | $3.95 |
MMM | $5.59 |
MMM Vital | $3.42 |
Panamerican Life | $7.00 |
PMC | $5.59 |
Tricare | $3.95 |
Triple S Salud | $8.00 |
Triple S Vital | $5.87 |
Triple S Advantage | $9.76 |
Negotiated Minimum Charge | $3.42 |
Negotiated Maximus Charge | $10.00 |
Discounted Cash Price | $4.00 |
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