01756
CPT/HCPCSAnesthesia for extensive procedure on elbow
Physician Fee Schedule
Facility
Medicare Payment
$177.33
Submitted Charge$2,077.23
Medicare Allowed$224.68
Providers627
Beneficiaries420
Total Services661
Office
Medicare Payment
$109.50
Submitted Charge$1,569.05
Medicare Allowed$143.04
Providers27
Beneficiaries19
Total Services39