Thyroid Carcinoma Metastases Image Wtith Whole Body
| DETAIL FOR SERVICES: | Study | Radiopharmaceuticals | Radiologist reading (interpretation) |
| 2020 CPT/HCPCS Primary Code | 78018 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Private Fee | $175.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Prossam | $175.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Champva | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| First Medical | $175.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| First Medical Vital | $198.42 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Plan de Salud Menonita | $150.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Menonita Vital | $305.57 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Humana Gold Plus / Gold Choice | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Humana | $157.50 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Mapfre | Not contracted | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Mcsclassicare | $90.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MCS Life | $90.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Medicare | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MMM | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MMM Vital | $202.99 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Panamerican Life | Not contracted | Provided when is required study | Not provided by Hospital (may be billed separately) |
| PMC | $191.65 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Tricare | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Salud | $175.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Vital | $156.19 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Advantage | Ambulatory Payment classification (APC) | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Minimum Charge | $90.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Maximum Charge | $305.57 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Discounted Cash Price | $140.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
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