52290

CPT/HCPCS

Incision of ureter using an endoscope

Physician Fee Schedule

Facility

Medicare Payment

$145.94

Submitted Charge$952.38
Medicare Allowed$182.63
Providers90
Beneficiaries108
Total Services114
Office

Medicare Payment

$109.52

Submitted Charge$969.12
Medicare Allowed$136.89
Providers4
Beneficiaries16
Total Services16