43453

CPT/HCPCS

Dilation of esophagus with a guide wire

Physician Fee Schedule

Facility

Medicare Payment

$198.43

Submitted Charge$949.30
Medicare Allowed$249.77
Providers212
Beneficiaries839
Total Services1,295
Office

Medicare Payment

$477.41

Submitted Charge$1,714.01
Medicare Allowed$600.27
Providers14
Beneficiaries74
Total Services83