58559

CPT/HCPCS

Release of scar tissue of uterus using an endoscope

Physician Fee Schedule

Facility

Medicare Payment

$461.09

Submitted Charge$3,284.00
Medicare Allowed$580.91
Providers85
Beneficiaries88
Total Services95
Office

Medicare Payment

$202.89

Submitted Charge$2,645.08
Medicare Allowed$253.63
Providers11
Beneficiaries12
Total Services12