67221
CPT/HCPCSDestruction of vascular growth between retina and sclera by photodynamic therapy
Physician Fee Schedule
Facility
Medicare Payment
$160.39
Submitted Charge$1,138.02
Medicare Allowed$204.27
Providers59
Beneficiaries108
Total Services128
Office
Medicare Payment
$210.88
Submitted Charge$1,015.71
Medicare Allowed$269.77
Providers359
Beneficiaries846
Total Services944