2020 CPT/HCPCS Primary Code | 87086 |
Negotiated Private Fee | $10.00 |
Prossam | $18.00 |
Champva | $8.07 |
First Medical | $7.00 |
First Medical Vital | $6.83 |
Plan de Salud Menonita | $25.00 |
Menonita Vital | $7.70 |
Humana Gold plus/ Gold choice | $8.07 |
Humana | $3.00 |
Mapfre | $30.00 |
Mcs Classicare | $8.07 |
MCS Life | $7.00 |
Medicare | $8.07 |
MMM | $11.43 |
MMM Vital | $6.97 |
Panamerican Life | $32.00 |
PMC | $11.43 |
Tricare | $8.07 |
Triple S Salud | $7.00 |
Triple S Vital | $12.00 |
Triple S Advantage | $19.92 |
Negotiated Minimum Charge | $3.00 |
Negotiated Maximus Charge | $32.00 |
Discounted Cash Price | 8.00 |
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