J2781
CPT/HCPCSInjection, pegcetacoplan, intravitreal, 1 mg
Physician Fee Schedule
Facility
Medicare Payment
$120.36
Submitted Charge$372.90
Medicare Allowed$151.06
Providers3
Beneficiaries21
Total Services690
Office
Medicare Payment
$119.92
Submitted Charge$297.16
Medicare Allowed$150.51
Providers1,418
Beneficiaries17,176
Total Services501,009