43254

CPT/HCPCS

Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Physician Fee Schedule

Facility

Medicare Payment

$212.86

Submitted Charge$1,174.37
Medicare Allowed$273.33
Providers1,732
Beneficiaries5,524
Total Services6,177
Office

Medicare Payment

$214.29

Submitted Charge$1,234.24
Medicare Allowed$266.67
Providers43
Beneficiaries56
Total Services56