15277

CPT/HCPCS

Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less

Physician Fee Schedule

Facility

Medicare Payment

$149.48

Submitted Charge$1,135.38
Medicare Allowed$188.15
Providers597
Beneficiaries993
Total Services1,247
Office

Medicare Payment

$243.02

Submitted Charge$717.44
Medicare Allowed$305.91
Providers117
Beneficiaries147
Total Services376