0642T
CPT/HCPCSNoncontact near-infrared spectroscopy study of flap or wound, interpretation and report only
Physician Fee Schedule
Facility
Medicare Payment
$9.71
Submitted Charge$223.39
Medicare Allowed$12.29
Providers7
Beneficiaries134
Total Services315
Office
Medicare Payment
$10.03
Submitted Charge$52.80
Medicare Allowed$12.87
Providers2
Beneficiaries94
Total Services107