58552
CPT/HCPCSRemoval of uterus, tubes, and/or ovaries through vagina using an endoscope, 250.0 g or less
Physician Fee Schedule
Facility
Medicare Payment
$639.83
Submitted Charge$3,074.95
Medicare Allowed$805.45
Providers1,678
Beneficiaries2,326
Total Services3,177
Office
Medicare Payment
$533.01
Submitted Charge$2,530.03
Medicare Allowed$663.94
Providers30
Beneficiaries27
Total Services35