Q4101

CPT/HCPCS

Apligraf, per square centimeter

Physician Fee Schedule

Facility

Medicare Payment

$23.83

Submitted Charge$667.98
Medicare Allowed$29.91
Providers8
Beneficiaries14
Total Services565
Office

Medicare Payment

$22.85

Submitted Charge$80.98
Medicare Allowed$28.68
Providers264
Beneficiaries350
Total Services47,245