40650
CPT/HCPCSRepair of lip and border
Physician Fee Schedule
Facility
Medicare Payment
$218.68
Submitted Charge$1,916.38
Medicare Allowed$284.32
Providers351
Beneficiaries361
Total Services366
Office
Medicare Payment
$297.44
Submitted Charge$1,036.59
Medicare Allowed$377.77
Providers35
Beneficiaries36
Total Services36