67042

CPT/HCPCS

Removal of membrane of retina with removal of internal limiting membrane of retina

Physician Fee Schedule

Facility

Medicare Payment

$1,061.19

Submitted Charge$5,594.10

Medicare Allowed$1,335.73

Providers2,903

Beneficiaries22,851

Total Services38,926

Office

Medicare Payment

$765.66

Submitted Charge$4,685.51

Medicare Allowed$963.80

Providers186

Beneficiaries627

Total Services753