90968
CPT/HCPCSDialysis services, per day, less than full month service (2-11 years)
Physician Fee Schedule
Facility
Medicare Payment
$13.18
Submitted Charge$58.93
Medicare Allowed$16.65
Providers40
Beneficiaries47
Total Services1,280
Office
Medicare Payment
$13.01
Submitted Charge$62.44
Medicare Allowed$16.80
Providers18
Beneficiaries21
Total Services1,400