Q4188
CPT/HCPCSAmnioarmor, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$766.78
Submitted Charge$980.00
Medicare Allowed$964.35
Providers7
Beneficiaries20
Total Services548
Office
Medicare Payment
$747.76
Submitted Charge$999.97
Medicare Allowed$938.63
Providers187
Beneficiaries1,515
Total Services86,598