15273

CPT/HCPCS

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

Physician Fee Schedule

Facility

Medicare Payment

$127.80

Submitted Charge$1,016.29
Medicare Allowed$161.01
Providers1,490
Beneficiaries2,973
Total Services4,876
Office

Medicare Payment

$209.08

Submitted Charge$594.50
Medicare Allowed$262.98
Providers663
Beneficiaries1,181
Total Services4,891