64492

CPT/HCPCS

Injection of upper or middle spine facet joint using imaging guidance, third and any additional level

Physician Fee Schedule

Facility

Medicare Payment

$58.64

Submitted Charge$895.97
Medicare Allowed$74.32
Providers82
Beneficiaries142
Total Services156
Office

Medicare Payment

$96.88

Submitted Charge$494.94
Medicare Allowed$121.45
Providers83
Beneficiaries246
Total Services306