58260

CPT/HCPCS

Removal of uterus through vagina, 250.0 g or less

Physician Fee Schedule

Facility

Medicare Payment

$504.51

Submitted Charge$2,657.04
Medicare Allowed$635.87
Providers1,799
Beneficiaries2,690
Total Services3,439
Office

Medicare Payment

$502.13

Submitted Charge$2,406.56
Medicare Allowed$629.51
Providers30
Beneficiaries37
Total Services43