52007

CPT/HCPCS

Insertion of tube into ureter and biopsy of ureter and/or renal pelvis using an endoscope

Physician Fee Schedule

Facility

Medicare Payment

$204.30

Submitted Charge$1,797.45

Medicare Allowed$258.36

Providers115

Beneficiaries149

Total Services161

Office

Medicare Payment

$320.33

Submitted Charge$1,451.03

Medicare Allowed$405.78

Providers9

Beneficiaries22

Total Services22