42660

CPT/HCPCS

Dilation of saliva gland duct and insertion of tube

Physician Fee Schedule

Facility

Medicare Payment

$48.33

Submitted Charge$597.53
Medicare Allowed$61.37
Providers93
Beneficiaries161
Total Services210
Office

Medicare Payment

$81.99

Submitted Charge$439.72
Medicare Allowed$116.94
Providers39
Beneficiaries55
Total Services70