76499
CPT/HCPCSOther diagnostic imaging procedure
Physician Fee Schedule
Facility
Medicare Payment
$41.45
Submitted Charge$203.37
Medicare Allowed$52.54
Providers92
Beneficiaries1,187
Total Services1,357
Office
Medicare Payment
$38.80
Submitted Charge$159.28
Medicare Allowed$49.99
Providers93
Beneficiaries516
Total Services536