21081
CPT/HCPCSImpression and custom preparation of lower jaw bone prosthesis
Physician Fee Schedule
Facility
Medicare Payment
$931.95
Submitted Charge$7,200.64
Medicare Allowed$1,175.17
Providers21
Beneficiaries86
Total Services87
Office
Medicare Payment
$1,248.16
Submitted Charge$4,463.14
Medicare Allowed$1,575.92
Providers62
Beneficiaries308
Total Services328