57200

CPT/HCPCS

Suture of nonobstetrical injury of vagina

Physician Fee Schedule

Facility

Medicare Payment

$181.72

Submitted Charge$1,013.63
Medicare Allowed$230.08
Providers414
Beneficiaries423
Total Services493
Office

Medicare Payment

$245.07

Submitted Charge$868.09
Medicare Allowed$317.04
Providers11
Beneficiaries11
Total Services11