75801

CPT/HCPCS

Review by radiologist of lymphatic system of arm or leg image

Physician Fee Schedule

Facility

Medicare Payment

$32.14

Submitted Charge$223.98
Medicare Allowed$41.21
Providers45
Beneficiaries136
Total Services144
Office

Medicare Payment

$88.01

Submitted Charge$424.32
Medicare Allowed$113.03
Providers12
Beneficiaries26
Total Services28