56800

CPT/HCPCS

Plastic repair of vaginal opening

Physician Fee Schedule

Facility

Medicare Payment

$187.63

Submitted Charge$1,120.59
Medicare Allowed$236.00
Providers85
Beneficiaries128
Total Services143
Office

Medicare Payment

$166.59

Submitted Charge$766.84
Medicare Allowed$208.61
Providers7
Beneficiaries11
Total Services11