64495

CPT/HCPCS

Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level

Physician Fee Schedule

Facility

Medicare Payment

$54.23

Submitted Charge$621.03
Medicare Allowed$68.26
Providers130
Beneficiaries342
Total Services406
Office

Medicare Payment

$93.83

Submitted Charge$511.36
Medicare Allowed$117.86
Providers140
Beneficiaries577
Total Services725