86304
CPT/HCPCSImmunologic analysis for detection of tumor antigen, quantitative; ca 125
Physician Fee Schedule
Facility
Medicare Payment
$20.39
Submitted Charge$60.80
Medicare Allowed$20.39
Providers2
Beneficiaries17
Total Services19
Office
Medicare Payment
$20.35
Submitted Charge$131.30
Medicare Allowed$20.35
Providers2,532
Beneficiaries62,853
Total Services143,620