77049

CPT/HCPCS

Mri scan of both breasts

Physician Fee Schedule

Facility

Medicare Payment

$82.34

Submitted Charge$551.79
Medicare Allowed$109.81
Providers4,157
Beneficiaries57,401
Total Services59,962
Office

Medicare Payment

$216.56

Submitted Charge$1,612.91
Medicare Allowed$283.29
Providers3,521
Beneficiaries57,693
Total Services66,513