50684

CPT/HCPCS

Injection of ureter for imaging

Physician Fee Schedule

Facility

Medicare Payment

$24.55

Submitted Charge$518.25
Medicare Allowed$30.90
Providers116
Beneficiaries459
Total Services521
Office

Medicare Payment

$67.56

Submitted Charge$1,647.35
Medicare Allowed$86.50
Providers17
Beneficiaries45
Total Services62