21206
CPT/HCPCSIncision or partial removal of upper jaw bone
Physician Fee Schedule
Facility
Medicare Payment
$436.04
Submitted Charge$1,805.89
Medicare Allowed$545.84
Providers13
Beneficiaries47
Total Services50
Office
Medicare Payment
$433.44
Submitted Charge$1,814.77
Medicare Allowed$544.93
Providers77
Beneficiaries776
Total Services979