Electrocargiogram (EKG)
| DETAIL FOR SERVICES: | 93005 | Radiologist reading (interpretation) |
| 2020 CPT/HCPCS Primary Code | Not provided by Hospital (may be billed separately) | |
| Negotiated Private Fee | $53.00 | Not provided by Hospital (may be billed separately) |
| Prossam | $10.00 | Not provided by Hospital (may be billed separately) |
| Champva | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) |
| First Medical | $15.00 | Not provided by Hospital (may be billed separately) |
| First Medical Vital | $6.80 | Not provided by Hospital (may be billed separately) |
| Plan de Salud Menonita | $15.00 | Not provided by Hospital (may be billed separately) |
| Menonita Vital | $6.80 | 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 | $17.00 | Not provided by Hospital (may be billed separately) |
| Mapfre | $15.00 | Not provided by Hospital (may be billed separately) |
| Mcsclassicare | $9.60 | Not provided by Hospital (may be billed separately) |
| MCS Life | $9.60 | Not provided by Hospital (may be billed separately) |
| Medicare | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) |
| MMM | $6.76 | Not provided by Hospital (may be billed separately) |
| MMM Vital | $5.50 | Not provided by Hospital (may be billed separately) |
| Panamerican Life | $15.00 | Not provided by Hospital (may be billed separately) |
| PMC | $6.76 | Not provided by Hospital (may be billed separately) |
| Tricare | Ambulatory Payment classification (APC) | Not provided by Hospital (may be billed separately) |
| Triple S Salud | $17.00 | Not provided by Hospital (may be billed separately) |
| Triple S Vital | $6.80 | 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 | $5.50 | Not provided by Hospital (may be billed separately) |
| Negotiated Maximum Charge | $17.00 | Not provided by Hospital (may be billed separately) |
| Discounted Cash Price | $42.40 | Not provided by Hospital (may be billed separately) |
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