72196
CPT/HCPCSMri scan of pelvis with contrast
Physician Fee Schedule
Facility
Medicare Payment
$64.39
Submitted Charge$415.50
Medicare Allowed$83.93
Providers798
Beneficiaries1,370
Total Services1,392
Office
Medicare Payment
$127.50
Submitted Charge$1,132.53
Medicare Allowed$165.42
Providers455
Beneficiaries1,019
Total Services1,084