Q4248
CPT/HCPCSDermacyte amniotic membrane allograft, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$850.97
Submitted Charge$2,010.89
Medicare Allowed$1,068.06
Providers16
Beneficiaries34
Total Services2,746
Office
Medicare Payment
$817.20
Submitted Charge$1,367.55
Medicare Allowed$1,025.72
Providers420
Beneficiaries1,114
Total Services69,118