15115

CPT/HCPCS

Outer layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less

Physician Fee Schedule

Facility

Medicare Payment

$393.49

Submitted Charge$2,655.40
Medicare Allowed$495.41
Providers173
Beneficiaries254
Total Services281
Office

Medicare Payment

$548.23

Submitted Charge$1,362.81
Medicare Allowed$687.73
Providers13
Beneficiaries63
Total Services78