42500
CPT/HCPCSSimple repair of salivary duct
Physician Fee Schedule
Facility
Medicare Payment
$436.14
Submitted Charge$2,154.91
Medicare Allowed$548.75
Providers172
Beneficiaries183
Total Services217
Office
Medicare Payment
$347.24
Submitted Charge$1,360.86
Medicare Allowed$448.47
Providers42
Beneficiaries47
Total Services47