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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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