36904
CPT/HCPCSRemoval and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Physician Fee Schedule
Facility
Medicare Payment
$546.48
Submitted Charge$3,677.12
Medicare Allowed$688.15
Providers1,075
Beneficiaries1,438
Total Services1,830
Office
Medicare Payment
$1,460.83
Submitted Charge$5,019.08
Medicare Allowed$1,835.00
Providers198
Beneficiaries340
Total Services378