55873

CPT/HCPCS

Destruction of prostate using imaging guidance

Physician Fee Schedule

Facility

Medicare Payment

$1,063.38

Submitted Charge$13,897.15
Medicare Allowed$1,338.42
Providers272
Beneficiaries945
Total Services1,064
Office

Medicare Payment

$2,682.09

Submitted Charge$23,687.09
Medicare Allowed$3,365.12
Providers28
Beneficiaries109
Total Services110