19325

CPT/HCPCS

Insertion of breast implant

Physician Fee Schedule

Facility

Medicare Payment

$626.99

Submitted Charge$5,108.19
Medicare Allowed$787.99
Providers490
Beneficiaries560
Total Services711
Office

Medicare Payment

$341.82

Submitted Charge$4,157.47
Medicare Allowed$428.85
Providers19
Beneficiaries20
Total Services20