19328

CPT/HCPCS

Removal of intact breast implant

Physician Fee Schedule

Facility

Medicare Payment

$455.32

Submitted Charge$2,989.25
Medicare Allowed$575.79
Providers1,102
Beneficiaries1,414
Total Services1,613
Office

Medicare Payment

$402.99

Submitted Charge$3,221.87
Medicare Allowed$512.64
Providers82
Beneficiaries94
Total Services94