15100

CPT/HCPCS

Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

Physician Fee Schedule

Facility

Medicare Payment

$483.52

Submitted Charge$3,022.46
Medicare Allowed$607.48
Providers3,577
Beneficiaries8,544
Total Services9,516
Office

Medicare Payment

$658.59

Submitted Charge$2,141.86
Medicare Allowed$830.48
Providers202
Beneficiaries550
Total Services576