2020 CPT/HCPCS | 73140 |
Negotiated Private Fee | $40.00 |
Prossam | $12.00 |
Champva | $38.28 |
First Medical | $14.00 |
First Medical Vital | $26.80 |
Plan de Salud Menonita | $20.00 |
Menonita Vital | $25.43 |
Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
Humana | $16.00 |
Mapfre | $16.00 |
Mcs Classicare | $16.00 |
MCS Life | $16.00 |
Medicare | Ambulatory Payment classification (APC) |
MMM | $24.88 |
MMM Vital | $25.43 |
Panamerican Life | $22.00 |
PMC | $24.88 |
Tricare | $39.02 |
Triple S Salud | $22.00 |
Triple S Vital | $13.66 |
Triple S Advantage | Ambulatory Payment classification (APC) |
Negotiated Minimum Charge | $12.00 |
Negotiated Maximus Charge | $39.02 |
Discounted Cash Price | $32.00 |
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