72158

CPT/HCPCS

Mri scan of lower spinal canal before and after contrast

Physician Fee Schedule

Facility

Medicare Payment

$83.49

Submitted Charge$573.30
Medicare Allowed$107.33
Providers12,534
Beneficiaries122,094
Total Services135,744
Office

Medicare Payment

$180.44

Submitted Charge$1,847.05
Medicare Allowed$232.55
Providers9,859
Beneficiaries70,481
Total Services87,609