20931
CPT/HCPCSGraft of donor bone to spine
Physician Fee Schedule
Facility
Medicare Payment
$85.79
Submitted Charge$590.25
Medicare Allowed$107.44
Providers1,770
Beneficiaries8,963
Total Services9,100
Office
Medicare Payment
$87.96
Submitted Charge$1,076.60
Medicare Allowed$110.33
Providers20
Beneficiaries36
Total Services36