42505
CPT/HCPCSComplicated plastic repair of salivary duct
Physician Fee Schedule
Facility
Medicare Payment
$479.20
Submitted Charge$2,919.06
Medicare Allowed$599.17
Providers140
Beneficiaries216
Total Services257
Office
Medicare Payment
$477.34
Submitted Charge$1,904.12
Medicare Allowed$606.61
Providers18
Beneficiaries25
Total Services26