Q4205
CPT/HCPCSMembrane graft or membrane wrap, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$1,095.72
Submitted Charge$1,425.88
Medicare Allowed$1,375.24
Providers40
Beneficiaries106
Total Services5,402
Office
Medicare Payment
$1,135.61
Submitted Charge$1,564.46
Medicare Allowed$1,425.31
Providers822
Beneficiaries3,092
Total Services232,891.1