15040
CPT/HCPCSRelocation of skin for self skin graft, 100.0 sq cm or less
Physician Fee Schedule
Facility
Medicare Payment
$120.88
Submitted Charge$714.32
Medicare Allowed$153.53
Providers97
Beneficiaries159
Total Services180
Office
Medicare Payment
$190.84
Submitted Charge$853.10
Medicare Allowed$246.04
Providers22
Beneficiaries31
Total Services33