77772
CPT/HCPCSHigh dose radiation therapy, more than 12 channels
Physician Fee Schedule
Facility
Medicare Payment
$231.63
Submitted Charge$1,405.68
Medicare Allowed$291.43
Providers256
Beneficiaries1,239
Total Services2,258
Office
Medicare Payment
$639.07
Submitted Charge$3,824.85
Medicare Allowed$801.26
Providers54
Beneficiaries302
Total Services713