15274

CPT/HCPCS

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

Physician Fee Schedule

Facility

Medicare Payment

$34.89

Submitted Charge$262.60
Medicare Allowed$43.74
Providers1,158
Beneficiaries2,365
Total Services24,241
Office

Medicare Payment

$58.37

Submitted Charge$165.35
Medicare Allowed$73.35
Providers533
Beneficiaries1,075
Total Services9,261