50391
CPT/HCPCSInstillation of drug into kidney and/or ureter
Physician Fee Schedule
Facility
Medicare Payment
$62.11
Submitted Charge$508.38
Medicare Allowed$78.87
Providers105
Beneficiaries110
Total Services433
Office
Medicare Payment
$91.39
Submitted Charge$433.91
Medicare Allowed$114.72
Providers180
Beneficiaries150
Total Services757