77047
CPT/HCPCSMri scan of both breasts without contrast
Physician Fee Schedule
Facility
Medicare Payment
$56.84
Submitted Charge$399.48
Medicare Allowed$76.82
Providers932
Beneficiaries1,477
Total Services1,490
Office
Medicare Payment
$142.28
Submitted Charge$1,331.62
Medicare Allowed$192.26
Providers1,043
Beneficiaries1,912
Total Services2,047