21208

CPT/HCPCS

Incision and repair of bony defect of cheek bone with repositioning of bony segment

Physician Fee Schedule

Facility

Medicare Payment

$331.57

Submitted Charge$4,604.48
Medicare Allowed$420.89
Providers43
Beneficiaries62
Total Services67
Office

Medicare Payment

$868.73

Submitted Charge$2,758.95
Medicare Allowed$1,091.43
Providers86
Beneficiaries1,086
Total Services1,745