76642

CPT/HCPCS

Limited ultrasound scan of 1 breast

Physician Fee Schedule

Facility

Medicare Payment

$24.60

Submitted Charge$158.86
Medicare Allowed$34.31
Providers9,853
Beneficiaries322,250
Total Services359,032
Office

Medicare Payment

$52.82

Submitted Charge$266.34
Medicare Allowed$73.24
Providers9,508
Beneficiaries257,844
Total Services314,626