75573
CPT/HCPCSCt scan of congenital heart disease with contrast
Physician Fee Schedule
Facility
Medicare Payment
$95.22
Submitted Charge$571.52
Medicare Allowed$123.78
Providers249
Beneficiaries625
Total Services633
Office
Medicare Payment
$214.75
Submitted Charge$1,697.41
Medicare Allowed$275.54
Providers45
Beneficiaries121
Total Services125