57105

CPT/HCPCS

Biopsy of extensive area of vaginal mucous membrane

Physician Fee Schedule

Facility

Medicare Payment

$133.45

Submitted Charge$793.67
Medicare Allowed$169.20
Providers211
Beneficiaries250
Total Services263
Office

Medicare Payment

$125.20

Submitted Charge$504.03
Medicare Allowed$170.15
Providers125
Beneficiaries149
Total Services153