15769
CPT/HCPCSSelf soft tissue graft
Physician Fee Schedule
Facility
Medicare Payment
$313.58
Submitted Charge$2,638.08
Medicare Allowed$393.32
Providers1,581
Beneficiaries4,285
Total Services4,989
Office
Medicare Payment
$345.38
Submitted Charge$1,054.00
Medicare Allowed$443.27
Providers98
Beneficiaries536
Total Services943