Medicare Reimbursement for CPT 11446

CPT 11446 is a procedure code defined by the American Medical Association; its specific descriptor is not reproduced here due to licensing restrictions. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both nationally and adjusted by locality, and compares non-facility (e.g., office) versus facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$398.47	$282.57
ALASKA* (AK)	$480.70	$357.26
ALABAMA (AL)	$361.18	$259.77
ARKANSAS (AR)	$356.52	$256.96
ARIZONA (AZ)	$388.40	$276.09
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$490.24	$326.81
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$498.97	$331.84
OXNARD-THOUSAND OAKS-VENTURA (CA)	$434.23	$297.23
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$437.41	$300.30
NAPA (CA)	$466.93	$314.17
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$491.01	$327.59
VALLEJO (CA)	$465.82	$313.06
BAKERSFIELD (CA)	$413.63	$286.60
CHICO (CA)	$411.66	$284.63
FRESNO (CA)	$411.66	$284.63
HANFORD-CORCORAN (CA)	$411.66	$284.63
MADERA (CA)	$411.66	$284.63
MERCED (CA)	$411.66	$284.63
MODESTO (CA)	$411.66	$284.63
REDDING (CA)	$411.66	$284.63
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$419.01	$291.99
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$429.33	$294.54
SALINAS (CA)	$427.67	$293.34
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$502.12	$334.99
SANTA CRUZ-WATSONVILLE (CA)	$438.40	$297.58
SANTA ROSA-PETALUMA (CA)	$442.66	$300.33
STOCKTON (CA)	$411.66	$284.63
VISALIA (CA)	$411.66	$284.63
YUBA CITY (CA)	$411.66	$284.63
EL CENTRO (CA)	$411.77	$284.74
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$435.77	$297.15
SAN LUIS OBISPO-PASO ROBLES (CA)	$421.09	$289.08
SANTA MARIA-SANTA BARBARA (CA)	$428.74	$293.60
REST OF CALIFORNIA (CA)	$411.66	$284.63
COLORADO (CO)	$409.42	$286.10
CONNECTICUT (CT)	$423.27	$298.44
DC + MD/VA SUBURBS (DC)	$448.54	$312.01
DELAWARE (DE)	$394.33	$279.82
FORT LAUDERDALE (FL)	$419.68	$302.27
MIAMI (FL)	$442.20	$321.54
REST OF FLORIDA (FL)	$400.24	$289.44
ATLANTA (GA)	$407.02	$289.26
REST OF GEORGIA (GA)	$379.13	$275.75
HAWAII, GUAM (HI)	$418.97	$287.19
IOWA (IA)	$366.12	$260.07
IDAHO (ID)	$368.95	$262.32
EAST ST. LOUIS (IL)	$403.95	$297.32
SUBURBAN CHICAGO (IL)	$423.03	$304.00
CHICAGO (IL)	$430.08	$313.60
REST OF ILLINOIS (IL)	$392.17	$286.35
INDIANA (IN)	$370.78	$263.34
KANSAS (KS)	$366.14	$261.37
KENTUCKY (KY)	$372.18	$269.15
NEW ORLEANS (LA)	$388.61	$279.55
REST OF LOUISIANA (LA)	$372.28	$269.71
METROPOLITAN BOSTON (MA)	$444.96	$306.57
REST OF MASSACHUSETTS (MA)	$407.99	$285.95
BALTIMORE/SURR. CNTYS (MD)	$422.38	$298.01
REST OF MARYLAND (MD)	$400.81	$283.51
SOUTHERN MAINE (ME)	$388.12	$273.26
REST OF MAINE (ME)	$372.33	$265.70
DETROIT (MI)	$406.37	$294.53
REST OF MICHIGAN (MI)	$382.31	$276.49
MINNESOTA (MN)	$388.85	$269.58
METROPOLITAN ST. LOUIS (MO)	$387.98	$277.65
METROPOLITAN KANSAS CITY (MO)	$384.56	$275.73
REST OF MISSOURI (MO)	$367.60	$267.69
MISSISSIPPI (MS)	$362.04	$262.25
MONTANA** (MT)	$398.43	$282.53
NORTH CAROLINA (NC)	$375.57	$267.43
NORTH DAKOTA** (ND)	$384.98	$269.08
NEBRASKA (NE)	$367.45	$260.47
NEW HAMPSHIRE (NH)	$404.63	$283.98
NORTHERN NJ (NJ)	$444.98	$310.53
REST OF NEW JERSEY (NJ)	$427.12	$300.55
NEW MEXICO (NM)	$384.82	$278.54
NEVADA** (NV)	$394.90	$278.88
MANHATTAN (NY)	$457.34	$322.66
NYC SUBURBS/LONG ISLAND (NY)	$469.42	$331.61
POUGHKPSIE/N NYC SUBURBS (NY)	$431.12	$304.21
QUEENS (NY)	$458.45	$321.46
REST OF NEW YORK (NY)	$380.75	$270.65
OHIO (OH)	$379.56	$273.75
OKLAHOMA (OK)	$369.93	$266.43
PORTLAND (OR)	$419.52	$290.75
REST OF OREGON (OR)	$390.85	$275.41
METROPOLITAN PHILADELPHIA (PA)	$414.67	$294.01
REST OF PENNSYLVANIA (PA)	$379.23	$272.83
PUERTO RICO (PR)	$400.55	$283.37
RHODE ISLAND (RI)	$406.23	$286.51
SOUTH CAROLINA (SC)	$378.39	$271.30
SOUTH DAKOTA** (SD)	$383.39	$267.49
TENNESSEE (TN)	$367.99	$262.63
BRAZORIA (TX)	$392.75	$277.89
DALLAS (TX)	$395.78	$280.34
GALVESTON (TX)	$394.28	$279.19
HOUSTON (TX)	$406.73	$291.64
BEAUMONT (TX)	$377.11	$271.64
FORT WORTH (TX)	$393.88	$279.60
AUSTIN (TX)	$408.92	$286.30
REST OF TEXAS (TX)	$385.08	$275.09
UTAH (UT)	$382.99	$274.04
VIRGINIA (VA)	$388.06	$274.13
VIRGIN ISLANDS (VI)	$400.55	$283.37
VERMONT (VT)	$385.06	$270.32
SEATTLE (KING CNTY) (WA)	$451.95	$309.74
REST OF WASHINGTON (WA)	$406.71	$284.66
WISCONSIN (WI)	$373.54	$262.51
WEST VIRGINIA (WV)	$379.51	$278.80
WYOMING** (WY)	$392.57	$276.67

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 units per patient per day — Date of Service Edit: Clinical. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare's PFS amount is built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice. Each RVU component is multiplied by a corresponding Geographic Practice Cost Index (GPCI) to reflect local cost differences, and the adjusted RVUs are summed and multiplied by the annual conversion factor (a dollar-per-RVU rate set by CMS) to produce the allowed amount. Non-facility and facility rates differ mainly because the practice-expense RVU is higher when the procedure is performed in a physician's office (non-facility) versus a hospital or ambulatory surgical center (facility), where the facility itself bears more of the overhead cost.

RVUs — work 4.68, practice expense 6.57 (non-facility) / 3.1 (facility), malpractice 0.68 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the beneficiary or secondary insurer is responsible for the remainder.
Actual payment varies by locality-specific GPCIs, applicable modifiers, claim-level adjustments, sequestration, and annual budget-neutrality changes to the conversion factor.
Always verify the exact allowed amount with your Medicare Administrative Contractor (MAC) or the CMS PFS lookup tool before billing or making financial commitments.

Frequently asked

Why is the facility rate lower than the non-facility rate for this code?

The facility rate uses a lower practice-expense RVU because Medicare assumes the facility (hospital or ASC) is covering overhead costs like staff, equipment, and supplies, whereas the non-facility rate reflects those costs being borne by the physician's own practice.

Does this amount change by geographic location?

Yes. The RVUs are adjusted by locality-specific GPCIs for work, practice expense, and malpractice, so the final allowed amount can differ between localities even for the same code and year.

Will Medicare pay the full amount shown?

No. Medicare generally reimburses 80% of the allowed amount after the Part B deductible has been met; the remaining 20% is typically owed by the patient or a secondary payer, subject to any applicable modifiers or adjustments.

Where can I find the official CPT descriptor for this code?

Because CPT descriptors are licensed by the American Medical Association, they are not reproduced here. You can find the official descriptor in your CPT codebook or through an AMA-licensed coding reference.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.