20900

CPT/HCPCS

Harvest of graft from small bone

Physician Fee Schedule

Facility

Medicare Payment

$386.31

Submitted Charge$2,874.00
Medicare Allowed$484.61
Providers2,426
Beneficiaries5,077
Total Services7,764
Office

Medicare Payment

$118.91

Submitted Charge$1,092.04
Medicare Allowed$149.47
Providers119
Beneficiaries256
Total Services300