A9607
CPT/HCPCSLutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
Physician Fee Schedule
Facility
Medicare Payment
$136.75
Submitted Charge$405.18
Medicare Allowed$171.64
Providers4
Beneficiaries22
Total Services51
Office
Medicare Payment
$197.95
Submitted Charge$524.64
Medicare Allowed$248.46
Providers192
Beneficiaries997
Total Services591,990