54164

CPT/HCPCS

Incision of membrane attaching foreskin and penis

Physician Fee Schedule

Facility

Medicare Payment

$173.73

Submitted Charge$1,097.82
Medicare Allowed$221.85
Providers69
Beneficiaries67
Total Services77
Office

Medicare Payment

$130.15

Submitted Charge$537.89
Medicare Allowed$177.98
Providers20
Beneficiaries20
Total Services20