01714

CPT/HCPCS

Anesthesia for repair of elbow to shoulder tendon

Physician Fee Schedule

Facility

Medicare Payment

$137.71

Submitted Charge$1,782.74
Medicare Allowed$173.74
Providers1,705
Beneficiaries1,288
Total Services1,811
Office

Medicare Payment

$109.63

Submitted Charge$1,237.17
Medicare Allowed$137.43
Providers61
Beneficiaries40
Total Services68