21485
CPT/HCPCSComplicated repair of dislocated jaw joint with placement of stabilizing device
Physician Fee Schedule
Facility
Medicare Payment
$647.39
Submitted Charge$2,714.89
Medicare Allowed$812.05
Providers14
Beneficiaries14
Total Services14
Office
Medicare Payment
$737.94
Submitted Charge$1,537.26
Medicare Allowed$938.71
Providers13
Beneficiaries70
Total Services74