72142
CPT/HCPCSMri scan of upper spinal canal with contrast
Physician Fee Schedule
Facility
Medicare Payment
$65.80
Submitted Charge$452.27
Medicare Allowed$84.54
Providers1,260
Beneficiaries1,764
Total Services1,787
Office
Medicare Payment
$146.95
Submitted Charge$1,317.70
Medicare Allowed$188.55
Providers618
Beneficiaries797
Total Services944