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Ultrasound of abdomen

2020 CPT/HCPCS 76700
Negotiated Private Fee $110.00
Prossam $90.00
Champva $125.30
First Medical $70.00
First Medical Vital $88.17
Plan de Salud Menonita $100.00
Menonita Vital $88.40
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $90.00
Mapfre $100.00
Mcs Classicare $90.00
MCS Life $90.00
Medicare Ambulatory Payment classification (APC)
MMM $101.99
MMM Vital $88.40
Panamerican Life $90.00
PMC $101.99
Tricare $122.87
Triple S Salud $100.00
Triple S Vital $46.29
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $46.29
Negotiated Maximus Charge $125.30
Discounted Cash Price $88.00

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