77046
CPT/HCPCSMri scan of 1 breast without contrast
Physician Fee Schedule
Facility
Medicare Payment
$52.14
Submitted Charge$367.93
Medicare Allowed$69.10
Providers86
Beneficiaries97
Total Services97
Office
Medicare Payment
$120.59
Submitted Charge$996.19
Medicare Allowed$159.82
Providers108
Beneficiaries139
Total Services146