57295
CPT/HCPCSRevision of prosthetic vaginal graft
Physician Fee Schedule
Facility
Medicare Payment
$333.87
Submitted Charge$1,970.93
Medicare Allowed$422.21
Providers668
Beneficiaries717
Total Services886
Office
Medicare Payment
$342.71
Submitted Charge$1,500.19
Medicare Allowed$438.94
Providers47
Beneficiaries54
Total Services55