74262

CPT/HCPCS

Diagnostic ct scan of large intestine with contrast

Physician Fee Schedule

Facility

Medicare Payment

$88.43

Submitted Charge$489.10
Medicare Allowed$117.29
Providers122
Beneficiaries336
Total Services337
Office

Medicare Payment

$200.11

Submitted Charge$1,405.09
Medicare Allowed$268.10
Providers81
Beneficiaries175
Total Services178