2020 CPT/HCPCS | 74022 |
Negotiated Private Fee | $60.00 |
Prossam | $29.00 |
Champva | $50.89 |
First Medical | $35.00 |
First Medical Vital | $35.63 |
Plan de Salud Menonita | $34.00 |
Menonita Vital | $34.56 |
Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
Humana | $36.00 |
Mapfre | $41.50 |
Mcs Classicare | $38.00 |
MCS Life | $38.00 |
Medicare | Ambulatory Payment classification (APC) |
MMM | $37.11 |
MMM Vital | $34.56 |
Panamerican Life | $40.00 |
PMC | $37.11 |
Tricare | $51.87 |
Triple S Salud | $41.00 |
Triple S Vital | $18.14 |
Triple S Advantage | Ambulatory Payment classification (APC) |
Negotiated Minimum Charge | $18.14 |
Negotiated Maximus Charge | $51.87 |
Discounted Cash Price | $48.00 |
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