00404
CPT/HCPCSAnesthesia for removal of all or part of breast
Physician Fee Schedule
Facility
Medicare Payment
$189.03
Submitted Charge$2,295.72
Medicare Allowed$239.09
Providers3,099
Beneficiaries2,807
Total Services3,803
Office
Medicare Payment
$169.83
Submitted Charge$1,892.08
Medicare Allowed$215.59
Providers70
Beneficiaries43
Total Services81