64681

CPT/HCPCS

Injection of agent to destroy presacral nerve bundle

Physician Fee Schedule

Facility

Medicare Payment

$213.43

Submitted Charge$2,004.60
Medicare Allowed$272.89
Providers42
Beneficiaries43
Total Services62
Office

Medicare Payment

$355.11

Submitted Charge$1,798.87
Medicare Allowed$450.27
Providers24
Beneficiaries35
Total Services42