58573

CPT/HCPCS

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, more than 250.0 g

Physician Fee Schedule

Facility

Medicare Payment

$775.92

Submitted Charge$4,027.86

Medicare Allowed$974.62

Providers1,492

Beneficiaries1,721

Total Services2,219

Office

Medicare Payment

$737.92

Submitted Charge$3,304.07

Medicare Allowed$932.31

Providers16

Beneficiaries16

Total Services20