J9250

CPT/HCPCS

Methotrexate sodium, 5 mg

Physician Fee Schedule

Facility

Medicare Payment

$0.01

Submitted Charge$0.01
Medicare Allowed$0.01
Providers22
Beneficiaries14
Total Services34
Office

Medicare Payment

$0.18

Submitted Charge$5.21
Medicare Allowed$0.24
Providers802
Beneficiaries2,221
Total Services91,146.5