21073
CPT/HCPCSManipulation of hinged joints of upper and lower jaw bones under anesthesia
Physician Fee Schedule
Facility
Medicare Payment
$177.70
Submitted Charge$1,971.63
Medicare Allowed$232.93
Providers25
Beneficiaries27
Total Services29
Office
Medicare Payment
$267.18
Submitted Charge$848.42
Medicare Allowed$350.33
Providers17
Beneficiaries28
Total Services30