76390

CPT/HCPCS

Mri study for measuring biochemical changes in the brain

Physician Fee Schedule

Facility

Medicare Payment

$55.88

Submitted Charge$373.50
Medicare Allowed$70.82
Providers343
Beneficiaries526
Total Services563
Office

Medicare Payment

$218.71

Submitted Charge$1,267.29
Medicare Allowed$277.35
Providers78
Beneficiaries133
Total Services170