54105

CPT/HCPCS

Biopsy of deep structure of penis

Physician Fee Schedule

Facility

Medicare Payment

$188.86

Submitted Charge$1,028.87
Medicare Allowed$246.01
Providers109
Beneficiaries110
Total Services120
Office

Medicare Payment

$182.48

Submitted Charge$782.12
Medicare Allowed$228.59
Providers20
Beneficiaries21
Total Services21