Q4249

CPT/HCPCS

Amniply, for topical use only, per square centimeter

Physician Fee Schedule

Facility

Medicare Payment

$482.66

Submitted Charge$687.63
Medicare Allowed$605.79
Providers4
Beneficiaries12
Total Services2,169
Office

Medicare Payment

$481.17

Submitted Charge$713.73
Medicare Allowed$603.95
Providers46
Beneficiaries641
Total Services22,671