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Ultrasound renal

2020 CPT/HCPCS 76770
Negotiated Private Fee $110.00
Prossam $80.00
Champva $115.83
First Medical $70.00
First Medical Vital $81.07
Plan de Salud Menonita $100.00
Menonita Vital $81.82
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $90.00
Mapfre $91.00
Mcs Classicare $90.00
MCS Life $90.00
Medicare Ambulatory Payment classification (APC)
MMM $98.92
MMM Vital $81.82
Panamerican Life $90.00
PMC $98.92
Tricare $113.82
Triple S Salud $100.00
Triple S Vital $42.56
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $70.00
Negotiated Maximus Charge $115.83
Discounted Cash Price $88.00

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