Q4250
CPT/HCPCSAmnioamp-mp, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$1,246.78
Submitted Charge$1,717.88
Medicare Allowed$1,564.83
Providers8
Beneficiaries14
Total Services510
Office
Medicare Payment
$1,290.72
Submitted Charge$1,706.48
Medicare Allowed$1,619.99
Providers78
Beneficiaries286
Total Services15,134