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XR eye foreign body

2020 CPT/HCPCS 70030
Negotiated Private Fee $25.00
Prossam $23.00
Champva $33.00
First Medical $26.00
First Medical Vital $22.11
Plan de Salud Menonita $28.00
Menonita Vital $22.11
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $27.00
Mapfre $32.00
Mcs Classicare $21.19
MCS Life $21.19
Medicare Ambulatory Payment classification (APC)
MMM $21.86
MMM Vital $22.11
Panamerican Life $32.00
PMC $21.86
Tricare $33.00
Triple S Salud $28.00
Triple S Vital $25.36
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $21.19
Negotiated Maximus Charge $33.00
Discounted Cash Price $20.00

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