15221
CPT/HCPCSFull thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
Physician Fee Schedule
Facility
Medicare Payment
$55.26
Submitted Charge$533.54
Medicare Allowed$69.24
Providers585
Beneficiaries1,005
Total Services1,813
Office
Medicare Payment
$100.56
Submitted Charge$370.62
Medicare Allowed$125.91
Providers322
Beneficiaries500
Total Services664