15116
CPT/HCPCSOuter layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
Physician Fee Schedule
Facility
Medicare Payment
$110.13
Submitted Charge$510.34
Medicare Allowed$137.94
Providers63
Beneficiaries85
Total Services305