KEPRO / HCHCP Home

Example: Bilateral Procedure, Modifier -50, Chicago, IL. Line item CPT code Maximum Bilateral policy Allowed. on bill modifier payment applied amount. 1 64721–SG–50 $1,090.08 $1.635.121 $1,635.121 . Total allowed amount $1,635.121. 1. Bilateral procedure is paid at 150% of maximum allowed amount. ................
................