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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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