J7308
CPT/HCPCSAminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
Physician Fee Schedule
Facility
Medicare Payment
$305.78
Submitted Charge$1,123.94
Medicare Allowed$384.63
Providers1
Beneficiaries12
Total Services12
Office
Medicare Payment
$300.70
Submitted Charge$667.83
Medicare Allowed$382.88
Providers5,532
Beneficiaries60,750
Total Services99,082