72128

CPT/HCPCS

Ct scan of middle spine without contrast

Physician Fee Schedule

Facility

Medicare Payment

$35.12

Submitted Charge$276.00
Medicare Allowed$45.63
Providers17,817
Beneficiaries192,527
Total Services207,900
Office

Medicare Payment

$71.99

Submitted Charge$701.14
Medicare Allowed$94.13
Providers6,345
Beneficiaries19,017
Total Services22,778