73219

CPT/HCPCS

Mri scan of arm with contrast

Physician Fee Schedule

Facility

Medicare Payment

$60.10

Submitted Charge$366.92
Medicare Allowed$78.43
Providers153
Beneficiaries170
Total Services174
Office

Medicare Payment

$211.56

Submitted Charge$1,316.43
Medicare Allowed$274.45
Providers123
Beneficiaries130
Total Services145