76857

CPT/HCPCS

Limited ultrasound scan of pelvis

Physician Fee Schedule

Facility

Medicare Payment

$17.62

Submitted Charge$113.62
Medicare Allowed$23.53
Providers15,985
Beneficiaries59,272
Total Services62,051
Office

Medicare Payment

$34.55

Submitted Charge$217.49
Medicare Allowed$46.40
Providers12,755
Beneficiaries113,690
Total Services144,177