21248

CPT/HCPCS

Reconstruction of part of lower or upper jaw bone with implant

Physician Fee Schedule

Facility

Medicare Payment

$487.52

Submitted Charge$4,379.28
Medicare Allowed$613.38
Providers44
Beneficiaries91
Total Services120
Office

Medicare Payment

$434.87

Submitted Charge$1,774.44
Medicare Allowed$548.91
Providers45
Beneficiaries271
Total Services389