50080
CPT/HCPCSSimple surgical treatment of kidney stone with imaging guidance
Physician Fee Schedule
Facility
Medicare Payment
$550.70
Submitted Charge$3,448.20
Medicare Allowed$693.05
Providers957
Beneficiaries1,611
Total Services1,658
Office
Medicare Payment
$543.99
Submitted Charge$6,161.01
Medicare Allowed$681.34
Providers7
Beneficiaries17
Total Services17