21440
CPT/HCPCSClosed treatment of broken upper or lower jaw bone
Physician Fee Schedule
Facility
Medicare Payment
$391.45
Submitted Charge$2,090.94
Medicare Allowed$499.22
Providers26
Beneficiaries26
Total Services27
Office
Medicare Payment
$524.94
Submitted Charge$2,126.08
Medicare Allowed$669.45
Providers42
Beneficiaries43
Total Services43