58340
CPT/HCPCSInsertion of tube and introduction of contrast for x-ray of uterus and fallopian tubes
Physician Fee Schedule
Facility
Medicare Payment
$39.41
Submitted Charge$448.91
Medicare Allowed$53.04
Providers247
Beneficiaries319
Total Services335
Office
Medicare Payment
$183.43
Submitted Charge$676.57
Medicare Allowed$241.00
Providers1,507
Beneficiaries3,332
Total Services3,395