49400
CPT/HCPCSInjection of air or x-ray contrast into abdominal cavity
Physician Fee Schedule
Facility
Medicare Payment
$60.60
Submitted Charge$453.26
Medicare Allowed$77.11
Providers315
Beneficiaries451
Total Services508
Office
Medicare Payment
$91.08
Submitted Charge$425.00
Medicare Allowed$116.19
Providers71
Beneficiaries205
Total Services247