Q4186

CPT/HCPCS

Epifix, per square centimeter

Physician Fee Schedule

Facility

Medicare Payment

$117.60

Submitted Charge$382.04
Medicare Allowed$147.60
Providers26
Beneficiaries61
Total Services2,694
Office

Medicare Payment

$117.74

Submitted Charge$328.60
Medicare Allowed$147.84
Providers1,560
Beneficiaries6,467
Total Services396,160.2