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2020 CPT/HCPCS 70200
Negotiated Private Fee $50.00
Prossam $29.00
Champva $49.50
First Medical $33.00
First Medical Vital $34.65
Plan de Salud Menonita $35.00
Menonita Vital $33.29
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $35.00
Mapfre $35.00
Mcs Classicare $35.00
MCS Life $35.00
Medicare Ambulatory Payment classification (APC)
MMM $33.21
MMM Vital $33.29
Panamerican Life $40.00
PMC $33.21
Tricare $50.49
Triple S Salud $41.00
Triple S Vital $17.48
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $29.00
Negotiated Maximus Charge $49.50
Discounted Cash Price $40.00

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