19371

CPT/HCPCS

Removal of capsule around breast implant

Physician Fee Schedule

Facility

Medicare Payment

$610.92

Submitted Charge$5,176.43
Medicare Allowed$769.00
Providers1,854
Beneficiaries3,848
Total Services4,814
Office

Medicare Payment

$570.91

Submitted Charge$5,282.17
Medicare Allowed$720.10
Providers101
Beneficiaries160
Total Services162