Densitometry
| DETAIL FOR SERVICES: | 77080 | Radiologist reading (interpretation) |
| 2020 CPT/HCPCS Primary Code | Not provided by Hospital (may be billed separately) | |
| Negotiated Private Fee | $50.00 | Not provided by Hospital (may be billed separately) |
| Prossam | $25.00 | Not provided by Hospital (may be billed separately) |
| Champva | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) |
| First Medical | $42.50 | Not provided by Hospital (may be billed separately) |
| First Medical Vital | $21.13 | Not provided by Hospital (may be billed separately) |
| Plan de Salud Menonita | $45.00 | Not provided by Hospital (may be billed separately) |
| Menonita Vital | $32.57 | 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 | $45.00 | Not provided by Hospital (may be billed separately) |
| Mapfre | $51.50 | Not provided by Hospital (may be billed separately) |
| Mcsclassicare | $29.72 | Not provided by Hospital (may be billed separately) |
| MCS Life | $33.96 | Not provided by Hospital (may be billed separately) |
| Medicare | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) |
| MMM | $134.86 | Not provided by Hospital (may be billed separately) |
| MMM Vital | $22.83 | Not provided by Hospital (may be billed separately) |
| Panamerican Life | $75.00 | Not provided by Hospital (may be billed separately) |
| PMC | $134.86 | Not provided by Hospital (may be billed separately) |
| Tricare | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) |
| Triple S Salud | $45.00 | Not provided by Hospital (may be billed separately) |
| Triple S Vital | $39.48 | 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 | $21.13 | Not provided by Hospital (may be billed separately) |
| Negotiated Maximum Charge | $134.86 | Not provided by Hospital (may be billed separately) |
| Discounted Cash Price | $40.00 | Not provided by Hospital (may be billed separately) |
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