72126

CPT/HCPCS

Ct scan of upper spine with contrast

Physician Fee Schedule

Facility

Medicare Payment

$43.31

Submitted Charge$296.10
Medicare Allowed$55.78
Providers5,732
Beneficiaries14,243
Total Services14,663
Office

Medicare Payment

$88.64

Submitted Charge$909.12
Medicare Allowed$115.33
Providers1,054
Beneficiaries2,133
Total Services2,372