0417T

CPT/HCPCS

Programming evaluation of heart contractility modulator system

Physician Fee Schedule

Facility

Medicare Payment

$57.93

Submitted Charge$387.09
Medicare Allowed$72.56
Providers4
Beneficiaries12
Total Services22
Office

Medicare Payment

$58.12

Submitted Charge$137.94
Medicare Allowed$75.45
Providers36
Beneficiaries64
Total Services82