72191

CPT/HCPCS

Ct scan of blood vessels of pelvis with contrast

Physician Fee Schedule

Facility

Medicare Payment

$66.65

Submitted Charge$460.68
Medicare Allowed$85.90
Providers1,600
Beneficiaries2,094
Total Services2,141
Office

Medicare Payment

$159.15

Submitted Charge$1,210.82
Medicare Allowed$206.64
Providers482
Beneficiaries747
Total Services873