2020 CPT/HCPCS | 72070 |
Negotiated Private Fee | $60.00 |
Prossam | $17.00 |
Champva | $33.34 |
First Medical | $21.00 |
First Medical Vital | $23.34 |
Plan de Salud Menonita | $26.00 |
Menonita Vital | $24.31 |
Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
Humana | $25.00 |
Mapfre | $28.00 |
Mcs Classicare | $24.00 |
MCS Life | $24.00 |
Medicare | Ambulatory Payment classification (APC) |
MMM | $29.07 |
MMM Vital | $24.31 |
Panamerican Life | $30.00 |
PMC | $29.07 |
Tricare | $34.11 |
Triple S Salud | $33.00 |
Triple S Vital | $11.88 |
Triple S Advantage | Ambulatory Payment classification (APC) |
Negotiated Minimum Charge | $11.88 |
Negotiated Maximus Charge | $34.11 |
Discounted Cash Price | $48.00 |
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