58542

CPT/HCPCS

Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less

Physician Fee Schedule

Facility

Medicare Payment

$355.68

Submitted Charge$2,897.09

Medicare Allowed$447.38

Providers1,215

Beneficiaries2,942

Total Services3,912

Office

Medicare Payment

$283.31

Submitted Charge$2,023.24

Medicare Allowed$356.51

Providers23

Beneficiaries46

Total Services58