15155
CPT/HCPCSTissue self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less
Physician Fee Schedule
Facility
Medicare Payment
$606.02
Submitted Charge$4,457.63
Medicare Allowed$760.27
Providers16
Beneficiaries36
Total Services44
Office
Medicare Payment
$577.09
Submitted Charge$2,067.27
Medicare Allowed$731.90
Providers8
Beneficiaries12
Total Services13