72114

CPT/HCPCS

X-ray lower and sacral spine, minimum of 6 views

Physician Fee Schedule

Facility

Medicare Payment

$10.87

Submitted Charge$86.71
Medicare Allowed$14.75
Providers6,970
Beneficiaries26,105
Total Services26,579
Office

Medicare Payment

$37.55

Submitted Charge$201.53
Medicare Allowed$51.01
Providers8,808
Beneficiaries56,575
Total Services64,017