Q4187

CPT/HCPCS

Epicord, per square centimeter

Physician Fee Schedule

Facility

Medicare Payment

$186.84

Submitted Charge$400.86
Medicare Allowed$234.50
Providers7
Beneficiaries19
Total Services387
Office

Medicare Payment

$185.28

Submitted Charge$508.43
Medicare Allowed$232.70
Providers151
Beneficiaries465
Total Services12,214