57400
CPT/HCPCSDilation of vagina under anesthesia
Physician Fee Schedule
Facility
Medicare Payment
$161.37
Submitted Charge$1,289.17
Medicare Allowed$205.21
Providers50
Beneficiaries45
Total Services51
Office
Medicare Payment
$90.11
Submitted Charge$300.12
Medicare Allowed$123.17
Providers9
Beneficiaries13
Total Services19