21046
CPT/HCPCSRemoval of growth or cyst of lower jaw bone through mouth
Physician Fee Schedule
Facility
Medicare Payment
$738.62
Submitted Charge$3,900.85
Medicare Allowed$928.85
Providers166
Beneficiaries255
Total Services276
Office
Medicare Payment
$533.60
Submitted Charge$1,901.48
Medicare Allowed$672.89
Providers130
Beneficiaries475
Total Services585