Q9967
CPT/HCPCSLow osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Physician Fee Schedule
Facility
Medicare Payment
$0.12
Submitted Charge$12.23
Medicare Allowed$0.15
Providers59
Beneficiaries400
Total Services12,688
Office
Medicare Payment
$0.11
Submitted Charge$1.65
Medicare Allowed$0.15
Providers22,414
Beneficiaries922,270
Total Services96,771,646.4