Q4253
CPT/HCPCSZenith amniotic membrane, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$711.07
Submitted Charge$1,060.39
Medicare Allowed$892.75
Providers31
Beneficiaries67
Total Services8,068
Office
Medicare Payment
$638.03
Submitted Charge$962.16
Medicare Allowed$800.90
Providers764
Beneficiaries3,420
Total Services406,326.5