2020 CPT/HCPCS | 73620 |
Negotiated Private Fee | $50.00 |
Prossam | $17.00 |
Champva | $29.13 |
First Medical | $19.00 |
First Medical Vital | $20.39 |
Plan de Salud Menonita | $24.00 |
Menonita Vital | $19.82 |
Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
Humana | $20.00 |
Mapfre | $24.00 |
Mcs Classicare | $24.00 |
MCS Life | $24.00 |
Medicare | Ambulatory Payment classification (APC) |
MMM | $28.48 |
MMM Vital | $19.82 |
Panamerican Life | $26.00 |
PMC | $28.48 |
Tricare | $29.24 |
Triple S Salud | $26.00 |
Triple S Vital | $18.52 |
Triple S Advantage | Ambulatory Payment classification (APC) |
Negotiated Minimum Charge | $17.00 |
Negotiated Maximus Charge | $29.24 |
Discounted Cash Price | $40.00 |
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