52353

CPT/HCPCS

Crushing of stone of ureter using an endoscope

Physician Fee Schedule

Facility

Medicare Payment

$422.49

Submitted Charge$2,513.72
Medicare Allowed$532.92
Providers3,383
Beneficiaries9,738
Total Services11,181
Office

Medicare Payment

$274.45

Submitted Charge$2,592.96
Medicare Allowed$353.07
Providers94
Beneficiaries173
Total Services173