21453
CPT/HCPCSClosed treatment of broken lower jaw bone with placement of stabilizing device to teeth
Physician Fee Schedule
Facility
Medicare Payment
$684.70
Submitted Charge$3,346.63
Medicare Allowed$863.77
Providers199
Beneficiaries214
Total Services226
Office
Medicare Payment
$814.53
Submitted Charge$3,101.77
Medicare Allowed$1,022.00
Providers32
Beneficiaries33
Total Services33