28715

CPT/HCPCS

Fusion of 3 bones of ankle

Physician Fee Schedule

Facility

Medicare Payment

$957.91

Submitted Charge$4,774.57
Medicare Allowed$1,206.15
Providers1,162
Beneficiaries1,316
Total Services1,959
Office

Medicare Payment

$618.05

Submitted Charge$3,643.08
Medicare Allowed$779.56
Providers31
Beneficiaries33
Total Services39