28530
CPT/HCPCSClosed treatment of broken small bone in tendon attached to great toe
Physician Fee Schedule
Facility
Medicare Payment
$64.14
Submitted Charge$619.43
Medicare Allowed$80.30
Providers17
Beneficiaries17
Total Services17
Office
Medicare Payment
$82.55
Submitted Charge$369.00
Medicare Allowed$112.46
Providers79
Beneficiaries89
Total Services89