15110

CPT/HCPCS

Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

Physician Fee Schedule

Facility

Medicare Payment

$431.41

Submitted Charge$2,580.37
Medicare Allowed$540.53
Providers191
Beneficiaries394
Total Services466
Office

Medicare Payment

$584.68

Submitted Charge$2,495.21
Medicare Allowed$741.99
Providers14
Beneficiaries49
Total Services55