74251

CPT/HCPCS

Double contrast x-ray of small intestine

Physician Fee Schedule

Facility

Medicare Payment

$41.87

Submitted Charge$192.07
Medicare Allowed$54.49
Providers204
Beneficiaries309
Total Services311
Office

Medicare Payment

$185.42

Submitted Charge$684.96
Medicare Allowed$241.53
Providers10
Beneficiaries13
Total Services13