A9575

CPT/HCPCS

Injection, gadoterate meglumine, 0.1 ml

Physician Fee Schedule

Facility

Medicare Payment

$0.10

Submitted Charge$0.30
Medicare Allowed$0.13
Providers43
Beneficiaries77
Total Services12,955
Office

Medicare Payment

$0.11

Submitted Charge$1.29
Medicare Allowed$0.14
Providers6,496
Beneficiaries295,388
Total Services49,756,083.6