21210

CPT/HCPCS

Repair of nasal or cheek bone with bone graft

Physician Fee Schedule

Facility

Medicare Payment

$1,032.42

Submitted Charge$5,980.46
Medicare Allowed$1,296.31
Providers72
Beneficiaries183
Total Services291
Office

Medicare Payment

$1,323.15

Submitted Charge$3,334.69
Medicare Allowed$1,667.96
Providers252
Beneficiaries2,382
Total Services4,196