00172
CPT/HCPCSAnesthesia for procedure on mouth to repair palate deformity
Physician Fee Schedule
Facility
Medicare Payment
$177.76
Submitted Charge$2,237.24
Medicare Allowed$224.49
Providers85
Beneficiaries57
Total Services85
Office
Medicare Payment
$173.73
Submitted Charge$1,354.77
Medicare Allowed$276.62
Providers1
Beneficiaries12
Total Services13