Q4038

CPT/HCPCS

Cast supplies, short leg cast, adult (11 years +), fiberglass

Physician Fee Schedule

Facility

Medicare Payment

$35.84

Submitted Charge$107.20
Medicare Allowed$48.24
Providers8
Beneficiaries15
Total Services15
Office

Medicare Payment

$36.36

Submitted Charge$111.47
Medicare Allowed$46.71
Providers6,225
Beneficiaries22,805
Total Services42,860.2