40805

CPT/HCPCS

Complicated removal of embedded foreign body in mouth

Physician Fee Schedule

Facility

Medicare Payment

$125.80

Submitted Charge$976.66
Medicare Allowed$157.79
Providers14
Beneficiaries14
Total Services14
Office

Medicare Payment

$190.99

Submitted Charge$691.39
Medicare Allowed$247.22
Providers14
Beneficiaries51
Total Services55