A9595

CPT/HCPCS

Piflufolastat f-18, diagnostic, 1 millicurie

Physician Fee Schedule

Facility

Medicare Payment

$38.64

Submitted Charge$87.61
Medicare Allowed$48.50
Providers22
Beneficiaries93
Total Services100
Office

Medicare Payment

$498.62

Submitted Charge$1,244.44
Medicare Allowed$625.85
Providers1,669
Beneficiaries24,756
Total Services224,811.2