21084
CPT/HCPCSImpression and custom preparation of speech aid prosthesis
Physician Fee Schedule
Facility
Medicare Payment
$914.28
Submitted Charge$5,704.16
Medicare Allowed$1,146.52
Providers7
Beneficiaries14
Total Services14
Office
Medicare Payment
$1,156.60
Submitted Charge$4,770.92
Medicare Allowed$1,478.30
Providers14
Beneficiaries24
Total Services25