Kidney Imaging Morphol
| DETAIL FOR SERVICES: | Study | Radiopharmaceuticals | Radiologist reading (interpretation) |
| 2020 CPT/HCPCS Primary Code | 78700 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Private Fee | $88.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Prossam | $85.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Champva | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| First Medical | $87.50 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| First Medical Vital | $109.05 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Plan de Salud Menonita | $79.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Menonita Vital | $138.38 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Humana Gold Plus / Gold Choice | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Humana | $83.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Mapfre | Not contracted | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Mcsclassicare | $87.50 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MCS Life | $87.50 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Medicare | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MMM | $108.4 | Not provided by Hospital (may be billed separately) | |
| MMM Vital | $112.15 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Panamerican Life | Not contracted | Provided when is required study | Not provided by Hospital (may be billed separately) |
| PMC | $108.40 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Tricare | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Salud | $87.50 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Vital | $78.10 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Advantage | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Minimum Charge | $78.10 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Maximum Charge | $138.38 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Discounted Cash Price | $70.40 | Provided when is required study | Not provided by Hospital (may be billed separately) |
© 2024 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
Política de Privacidad | Acreditaciones | Price Transparency
