Ultrasound breast bilateral limited
| 2020 CPT/HCPCS | 76642 |
| Negotiated Private Fee | $106.00 |
| Prossam | $70.00 |
| Champva | $90.17 |
| First Medical | $30.00 |
| First Medical Vital | $63.11 |
| Plan de Salud Menonita | $75.00 |
| Menonita Vital | $81.71 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $48.00 |
| Mapfre | $35.00 |
| Mcs Classicare | $53.34 |
| MCS Life | $53.34 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $69.78 |
| MMM Vital | $63.55 |
| Panamerican Life | Not Covered |
| PMC | $69.78 |
| Tricare | $88.38 |
| Triple S Salud | $30.00 |
| Triple S Vital | $26.00 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $26.00 |
| Negotiated Maximus Charge | $90.17 |
| Discounted Cash Price | $84.80 |
© 2024 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
Política de Privacidad | Acreditaciones | Price Transparency
