74415

CPT/HCPCS

Imaging of urinary tract using infusion technique with kidney section filming

Physician Fee Schedule

Facility

Medicare Payment

$17.85

Submitted Charge$84.67
Medicare Allowed$23.16
Providers17
Beneficiaries28
Total Services28
Office

Medicare Payment

$93.42

Submitted Charge$411.67
Medicare Allowed$130.17
Providers9
Beneficiaries18
Total Services18