A4561
CPT/HCPCSPessary, rubber, any type
Physician Fee Schedule
Facility
Medicare Payment
$21.25
Submitted Charge$79.22
Medicare Allowed$26.67
Providers11
Beneficiaries16
Total Services17
Office
Medicare Payment
$19.21
Submitted Charge$81.76
Medicare Allowed$26.29
Providers2,547
Beneficiaries5,601
Total Services6,629