70555
CPT/HCPCSFunctional mri scan of brain with neurofunctional testing
Physician Fee Schedule
Facility
Medicare Payment
$94.31
Submitted Charge$779.93
Medicare Allowed$121.67
Providers118
Beneficiaries263
Total Services269
Office
Medicare Payment
$366.61
Submitted Charge$3,490.99
Medicare Allowed$464.44
Providers23
Beneficiaries37
Total Services38