Q9957

CPT/HCPCS

Injection, perflutren lipid microspheres, per ml

Physician Fee Schedule

Facility

Medicare Payment

$33.17

Submitted Charge$138.80
Medicare Allowed$43.33
Providers85
Beneficiaries289
Total Services376
Office

Medicare Payment

$34.36

Submitted Charge$167.25
Medicare Allowed$43.99
Providers4,052
Beneficiaries42,318
Total Services81,563.8