21082
CPT/HCPCSImpression and custom preparation of prosthesis for roof of mouth enlargement
Physician Fee Schedule
Facility
Medicare Payment
$685.85
Submitted Charge$6,498.11
Medicare Allowed$862.08
Providers19
Beneficiaries49
Total Services51
Office
Medicare Payment
$1,147.28
Submitted Charge$3,221.04
Medicare Allowed$1,449.87
Providers40
Beneficiaries227
Total Services250