Ultrasound scrotum
| 2020 CPT/HCPCS | 76870 |
| Negotiated Private Fee | $100.00 |
| Prossam | $60.00 |
| Champva | $108.11 |
| First Medical | $70.00 |
| First Medical Vital | Not Covered |
| Plan de Salud Menonita | $82.00 |
| Menonita Vital | $75.23 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $68.00 |
| Mapfre | $73.00 |
| Mcs Classicare | $72.00 |
| MCS Life | $72.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $92.28 |
| MMM Vital | $75.23 |
| Panamerican Life | $90.00 |
| PMC | $92.28 |
| Tricare | $31.53 |
| Triple S Salud | $82.00 |
| Triple S Vital | $39.49 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $31.53 |
| Negotiated Maximus Charge | $108.11 |
| Discounted Cash Price | $80.00 |
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