42340

CPT/HCPCS

Complicated removal of saliva gland stone

Physician Fee Schedule

Facility

Medicare Payment

$251.67

Submitted Charge$1,867.98
Medicare Allowed$315.48
Providers56
Beneficiaries63
Total Services73
Office

Medicare Payment

$392.45

Submitted Charge$1,409.79
Medicare Allowed$500.10
Providers27
Beneficiaries27
Total Services28