76497
CPT/HCPCSOther ct scan
Physician Fee Schedule
Facility
Medicare Payment
$48.97
Submitted Charge$465.61
Medicare Allowed$63.34
Providers346
Beneficiaries1,143
Total Services1,163
Office
Medicare Payment
$158.51
Submitted Charge$1,738.79
Medicare Allowed$201.94
Providers217
Beneficiaries1,058
Total Services1,157