21249

CPT/HCPCS

Complete reconstruction of lower or upper jaw bone with jaw bone implant (endosteal)

Physician Fee Schedule

Facility

Medicare Payment

$646.13

Submitted Charge$6,049.85
Medicare Allowed$811.50
Providers22
Beneficiaries38
Total Services41
Office

Medicare Payment

$568.68

Submitted Charge$2,117.57
Medicare Allowed$718.42
Providers17
Beneficiaries77
Total Services140