42330
CPT/HCPCSUncomplicated removal of saliva gland stone from inside mouth
Physician Fee Schedule
Facility
Medicare Payment
$109.73
Submitted Charge$1,146.74
Medicare Allowed$139.66
Providers193
Beneficiaries196
Total Services214
Office
Medicare Payment
$169.38
Submitted Charge$644.27
Medicare Allowed$227.64
Providers429
Beneficiaries464
Total Services471