Thyroid uptake, single or multiple quant.
| DETAIL FOR SERVICES: | Study | Radiopharmaceuticals | Radiologist reading (interpretation) |
| 2020 CPT/HCPCS Primary Code | 78012 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Private Fee | $50.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Prossam | $29.00 | 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 | $85.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| First Medical Vital | $52.67 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Plan de Salud Menonita | $42.50 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Menonita Vital | $70.93 | 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 | $29.03 | 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 | $29.04 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MCS Life | $29.04 | 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 | $50.05 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| MMM Vital | $50.05 | 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 | $50.00 | 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 | $50.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Triple S Vital | $91.88 | 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 | $29.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Negotiated Maximum Charge | $91.88 | Provided when is required study | Not provided by Hospital (may be billed separately) |
| Discounted Cash Price | $40.00 | Provided when is required study | Not provided by Hospital (may be billed separately) |
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