49452

CPT/HCPCS

Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast

Physician Fee Schedule

Facility

Medicare Payment

$101.64

Submitted Charge$1,371.83
Medicare Allowed$130.72
Providers3,126
Beneficiaries4,463
Total Services10,446
Office

Medicare Payment

$388.41

Submitted Charge$2,462.01
Medicare Allowed$492.21
Providers98
Beneficiaries104
Total Services157