Bone and/or Joint Imaging Whole Body
| DETAIL FOR SERVICES: | Study | Radiopharmaceuticals | Radiologist reading (interpretation) |
| 2020 CPT/HCPCS Primary Code | 78306 | A9503 | Not provided by Hospital (may be billed separately) |
| Negotiated Private Fee | $90.00 | $72.00 | Not provided by Hospital (may be billed separately) |
| Prossam | $92.50 | As Cost By Supplier | Not provided by Hospital (may be billed separately) |
| Champva | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) | |
| First Medical | $87.50 | As Cost By Supplier | Not provided by Hospital (may be billed separately) |
| First Medical Vital | $188.67 | $34.54 | Not provided by Hospital (may be billed separately) |
| Plan de Salud Menonita | $70.00 | As Cost By Supplier + 3% | Not provided by Hospital (may be billed separately) |
| Menonita Vital | $189.61 | $45.00 | Not provided by Hospital (may be billed separately) |
| Humana Gold Plus / Gold Choice | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) | |
| Humana | $80.00 | $20.00 | Not provided by Hospital (may be billed separately) |
| Mapfre | Not contracted | Not provided by Hospital (may be billed separately) | |
| Mcsclassicare | $87.50 | $50 | Not provided by Hospital (may be billed separately) |
| MCS Life | $87.50 | $50 | Not provided by Hospital (may be billed separately) |
| Medicare | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) | |
| MMM | $147.14 | Not provided by Hospital (may be billed separately) | |
| MMM Vital | $195.13 | $20.00 | Not provided by Hospital (may be billed separately) |
| Panamerican Life | Not contracted | Not provided by Hospital (may be billed separately) | |
| PMC | $147.14 | Not provided by Hospital (may be billed separately) | |
| Tricare | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) | |
| Triple S Salud | $90.00 | $34.54 | Not provided by Hospital (may be billed separately) |
| Triple S Vital | $115.12 | $34.54 | Not provided by Hospital (may be billed separately) |
| Triple S Advantage | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) | |
| Negotiated Minimum Charge | $70.00 | $20.00 | Not provided by Hospital (may be billed separately) |
| Negotiated Maximum Charge | $195.13 | $45.00 | Not provided by Hospital (may be billed separately) |
| Discounted Cash Price | $72.00 | $57.60 | Not provided by Hospital (may be billed separately) |
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