0421T
CPT/HCPCSWaterjet destruction of prostrate accessed through the urethra
Physician Fee Schedule
Facility
Medicare Payment
$599.12
Submitted Charge$3,664.55
Medicare Allowed$755.31
Providers700
Beneficiaries5,485
Total Services5,495
Office
Medicare Payment
$696.73
Submitted Charge$4,386.86
Medicare Allowed$874.08
Providers25
Beneficiaries56
Total Services56