72156

CPT/HCPCS

Mri scan of upper spinal canal before and after contrast

Physician Fee Schedule

Facility

Medicare Payment

$83.64

Submitted Charge$612.17
Medicare Allowed$107.54
Providers10,925
Beneficiaries71,240
Total Services77,795
Office

Medicare Payment

$175.05

Submitted Charge$1,920.78
Medicare Allowed$224.59
Providers7,534
Beneficiaries35,945
Total Services43,562