42650

CPT/HCPCS

Insertion of probe to widen saliva gland duct

Physician Fee Schedule

Facility

Medicare Payment

$31.17

Submitted Charge$366.21
Medicare Allowed$40.40
Providers98
Beneficiaries142
Total Services160
Office

Medicare Payment

$52.20

Submitted Charge$224.95
Medicare Allowed$69.33
Providers174
Beneficiaries244
Total Services290