64494

CPT/HCPCS

Injection of lower or sacral spine facet joint using imaging guidance, second level

Physician Fee Schedule

Facility

Medicare Payment

$54.20

Submitted Charge$690.14

Medicare Allowed$69.01

Providers6,058

Beneficiaries114,505

Total Services174,188

Office

Medicare Payment

$93.97

Submitted Charge$690.81

Medicare Allowed$118.21

Providers5,899

Beneficiaries134,650

Total Services213,471