21040
CPT/HCPCSRemoval of growth or cyst of lower jaw bone
Physician Fee Schedule
Facility
Medicare Payment
$275.55
Submitted Charge$1,942.50
Medicare Allowed$350.20
Providers133
Beneficiaries162
Total Services176
Office
Medicare Payment
$291.97
Submitted Charge$963.28
Medicare Allowed$376.47
Providers389
Beneficiaries1,235
Total Services1,394