15101
CPT/HCPCSPartial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
Physician Fee Schedule
Facility
Medicare Payment
$86.95
Submitted Charge$689.74
Medicare Allowed$108.96
Providers1,410
Beneficiaries2,822
Total Services14,893
Office
Medicare Payment
$124.63
Submitted Charge$641.22
Medicare Allowed$156.15
Providers19
Beneficiaries22
Total Services27