15201
CPT/HCPCSFull thickness skin graft to trunk, each additional 20.0 sq cm
Physician Fee Schedule
Facility
Medicare Payment
$62.02
Submitted Charge$620.07
Medicare Allowed$77.71
Providers62
Beneficiaries66
Total Services123
Office
Medicare Payment
$99.10
Submitted Charge$377.85
Medicare Allowed$122.28
Providers17
Beneficiaries17
Total Services24