74425
CPT/HCPCSReview by radiologist of upper urinary tract image
Physician Fee Schedule
Facility
Medicare Payment
$18.97
Submitted Charge$145.90
Medicare Allowed$24.04
Providers607
Beneficiaries778
Total Services859
Office
Medicare Payment
$82.84
Submitted Charge$304.89
Medicare Allowed$105.52
Providers94
Beneficiaries128
Total Services140