A4562
CPT/HCPCSPessary, non rubber, any type
Physician Fee Schedule
Facility
Medicare Payment
$50.15
Submitted Charge$240.35
Medicare Allowed$65.92
Providers33
Beneficiaries92
Total Services104
Office
Medicare Payment
$48.31
Submitted Charge$116.59
Medicare Allowed$64.64
Providers6,684
Beneficiaries30,709
Total Services39,458