40525

CPT/HCPCS

Removal of lip with repair using local tissue graft

Physician Fee Schedule

Facility

Medicare Payment

$427.31

Submitted Charge$2,758.51
Medicare Allowed$541.36
Providers150
Beneficiaries166
Total Services183
Office

Medicare Payment

$435.01

Submitted Charge$1,827.97
Medicare Allowed$545.47
Providers15
Beneficiaries15
Total Services16