25405

CPT/HCPCS

Repair non-healed fracture of forearm bone with patient-derived bone graft

Physician Fee Schedule

Facility

Medicare Payment

$1,125.59

Submitted Charge$5,898.26
Medicare Allowed$1,419.88
Providers480
Beneficiaries350
Total Services536
Office

Medicare Payment

$626.79

Submitted Charge$3,992.52
Medicare Allowed$780.36
Providers14
Beneficiaries13
Total Services15