50081

CPT/HCPCS

Complex surgical treatment of kidney stone with imaging guidance

Physician Fee Schedule

Facility

Medicare Payment

$897.95

Submitted Charge$4,804.35
Medicare Allowed$1,128.13
Providers2,071
Beneficiaries6,081
Total Services7,298
Office

Medicare Payment

$870.44

Submitted Charge$5,214.27
Medicare Allowed$1,092.83
Providers26
Beneficiaries62
Total Services66