Q4194
CPT/HCPCSNovachor, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$806.83
Submitted Charge$1,665.47
Medicare Allowed$1,013.53
Providers12
Beneficiaries20
Total Services458
Office
Medicare Payment
$802.93
Submitted Charge$1,718.70
Medicare Allowed$1,007.95
Providers693
Beneficiaries3,417
Total Services77,813.5