52355

CPT/HCPCS

Removal of growth of ureter or kidney using an endoscope

Physician Fee Schedule

Facility

Medicare Payment

$468.05

Submitted Charge$2,612.65
Medicare Allowed$590.51
Providers450
Beneficiaries569
Total Services704
Office

Medicare Payment

$373.67

Submitted Charge$2,353.76
Medicare Allowed$468.11
Providers11
Beneficiaries17
Total Services17