28635
CPT/HCPCSClosed treatment of dislocated joint between toe and foot under anesthesia
Physician Fee Schedule
Facility
Medicare Payment
$176.24
Submitted Charge$1,128.55
Medicare Allowed$222.49
Providers49
Beneficiaries58
Total Services103
Office
Medicare Payment
$121.88
Submitted Charge$437.31
Medicare Allowed$160.75
Providers36
Beneficiaries44
Total Services46