Medicare Reimbursement for CPT 14301
CPT code 14301 is a procedure code defined by the American Medical Association; the specific clinical descriptor is not reproduced here due to licensing restrictions. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for 2026, both at the national level and adjusted by locality, with separate figures for non-facility and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $1120.27 | $768.22 |
| ALASKA* (AK) | $1337.21 | $962.28 |
| ALABAMA (AL) | $1010.66 | $702.62 |
| ARKANSAS (AR) | $996.94 | $694.53 |
| ARIZONA (AZ) | $1090.61 | $749.47 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $1382.73 | $886.35 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $1407.49 | $899.84 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $1222.64 | $806.53 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $1231.43 | $814.96 |
| NAPA (CA) | $1316.30 | $852.31 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $1385.05 | $888.66 |
| VALLEJO (CA) | $1312.96 | $848.97 |
| BAKERSFIELD (CA) | $1162.92 | $777.08 |
| CHICO (CA) | $1157.12 | $771.28 |
| FRESNO (CA) | $1157.12 | $771.28 |
| HANFORD-CORCORAN (CA) | $1157.12 | $771.28 |
| MADERA (CA) | $1157.12 | $771.28 |
| MERCED (CA) | $1157.12 | $771.28 |
| MODESTO (CA) | $1157.12 | $771.28 |
| REDDING (CA) | $1157.12 | $771.28 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $1179.13 | $793.29 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $1207.84 | $798.42 |
| SALINAS (CA) | $1203.22 | $795.20 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $1416.96 | $909.31 |
| SANTA CRUZ-WATSONVILLE (CA) | $1234.96 | $807.23 |
| SANTA ROSA-PETALUMA (CA) | $1246.99 | $814.68 |
| STOCKTON (CA) | $1157.12 | $771.28 |
| VISALIA (CA) | $1157.12 | $771.28 |
| YUBA CITY (CA) | $1157.12 | $771.28 |
| EL CENTRO (CA) | $1157.46 | $771.62 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $1226.91 | $805.87 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $1184.65 | $783.67 |
| SANTA MARIA-SANTA BARBARA (CA) | $1206.47 | $795.99 |
| REST OF CALIFORNIA (CA) | $1157.12 | $771.28 |
| COLORADO (CO) | $1151.26 | $776.69 |
| CONNECTICUT (CT) | $1192.11 | $812.96 |
| DC + MD/VA SUBURBS (DC) | $1264.18 | $849.47 |
| DELAWARE (DE) | $1107.76 | $759.94 |
| FORT LAUDERDALE (FL) | $1183.65 | $827.02 |
| MIAMI (FL) | $1250.70 | $884.22 |
| REST OF FLORIDA (FL) | $1126.37 | $789.81 |
| ATLANTA (GA) | $1145.44 | $787.76 |
| REST OF GEORGIA (GA) | $1064.20 | $750.17 |
| HAWAII, GUAM (HI) | $1179.30 | $779.02 |
| IOWA (IA) | $1024.75 | $702.63 |
| IDAHO (ID) | $1033.13 | $709.25 |
| EAST ST. LOUIS (IL) | $1138.13 | $814.25 |
| SUBURBAN CHICAGO (IL) | $1193.04 | $831.49 |
| CHICAGO (IL) | $1214.59 | $860.78 |
| REST OF ILLINOIS (IL) | $1102.92 | $781.50 |
| INDIANA (IN) | $1038.50 | $712.16 |
| KANSAS (KS) | $1025.00 | $706.75 |
| KENTUCKY (KY) | $1043.40 | $730.43 |
| NEW ORLEANS (LA) | $1091.76 | $760.48 |
| REST OF LOUISIANA (LA) | $1043.77 | $732.21 |
| METROPOLITAN BOSTON (MA) | $1253.87 | $833.53 |
| REST OF MASSACHUSETTS (MA) | $1146.96 | $776.26 |
| BALTIMORE/SURR. CNTYS (MD) | $1189.75 | $812.00 |
| REST OF MARYLAND (MD) | $1126.48 | $770.21 |
| SOUTHERN MAINE (ME) | $1089.36 | $740.48 |
| REST OF MAINE (ME) | $1043.29 | $719.40 |
| DETROIT (MI) | $1144.60 | $804.87 |
| REST OF MICHIGAN (MI) | $1073.35 | $751.93 |
| MINNESOTA (MN) | $1090.87 | $728.61 |
| METROPOLITAN ST. LOUIS (MO) | $1089.67 | $754.52 |
| METROPOLITAN KANSAS CITY (MO) | $1079.64 | $749.07 |
| REST OF MISSOURI (MO) | $1030.13 | $726.67 |
| MISSISSIPPI (MS) | $1013.48 | $710.37 |
| MONTANA** (MT) | $1120.13 | $768.08 |
| NORTH CAROLINA (NC) | $1052.77 | $724.31 |
| NORTH DAKOTA** (ND) | $1079.79 | $727.75 |
| NEBRASKA (NE) | $1028.58 | $703.64 |
| NEW HAMPSHIRE (NH) | $1138.00 | $771.52 |
| NORTHERN NJ (NJ) | $1253.29 | $844.92 |
| REST OF NEW JERSEY (NJ) | $1202.26 | $817.82 |
| NEW MEXICO (NM) | $1080.82 | $757.99 |
| NEVADA** (NV) | $1109.53 | $757.13 |
| MANHATTAN (NY) | $1290.28 | $881.20 |
| NYC SUBURBS/LONG ISLAND (NY) | $1326.03 | $907.45 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $1213.94 | $828.45 |
| QUEENS (NY) | $1293.27 | $877.16 |
| REST OF NEW YORK (NY) | $1068.01 | $733.57 |
| OHIO (OH) | $1065.11 | $743.69 |
| OKLAHOMA (OK) | $1036.56 | $722.18 |
| PORTLAND (OR) | $1180.49 | $789.36 |
| REST OF OREGON (OR) | $1097.47 | $746.83 |
| METROPOLITAN PHILADELPHIA (PA) | $1167.08 | $800.60 |
| REST OF PENNSYLVANIA (PA) | $1064.01 | $740.84 |
| PUERTO RICO (PR) | $1126.29 | $770.37 |
| RHODE ISLAND (RI) | $1141.86 | $778.20 |
| SOUTH CAROLINA (SC) | $1061.38 | $736.09 |
| SOUTH DAKOTA** (SD) | $1075.02 | $722.98 |
| TENNESSEE (TN) | $1030.45 | $710.44 |
| BRAZORIA (TX) | $1102.81 | $753.93 |
| DALLAS (TX) | $1111.74 | $761.10 |
| GALVESTON (TX) | $1107.36 | $757.78 |
| HOUSTON (TX) | $1144.70 | $795.12 |
| BEAUMONT (TX) | $1057.80 | $737.44 |
| FORT WORTH (TX) | $1106.22 | $759.10 |
| AUSTIN (TX) | $1150.46 | $778.00 |
| REST OF TEXAS (TX) | $1081.00 | $746.91 |
| UTAH (UT) | $1074.90 | $743.98 |
| VIRGINIA (VA) | $1089.35 | $743.29 |
| VIRGIN ISLANDS (VI) | $1126.29 | $770.37 |
| VERMONT (VT) | $1080.20 | $731.68 |
| SEATTLE (KING CNTY) (WA) | $1273.74 | $841.78 |
| REST OF WASHINGTON (WA) | $1143.27 | $772.57 |
| WISCONSIN (WI) | $1046.22 | $708.96 |
| WEST VIRGINIA (WV) | $1065.75 | $759.83 |
| WYOMING** (WY) | $1102.55 | $750.50 |
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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) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed. These locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility rates generally apply when the service is furnished in a physician's office, while facility rates apply in hospital or ambulatory surgical center settings, reflecting lower practice-expense RVUs since the facility bears some overhead costs. The conversion factor is updated annually and applied uniformly nationwide, while GPCIs vary by locality to reflect regional cost differences.
RVUs — work 12.33, practice expense 19.17 (non-facility) / 8.63 (facility), malpractice 2.04 — × 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 can vary by locality, applicable modifiers, place of service, sequestration reductions, and annual budget-neutrality adjustments.
- Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC) before billing.
Frequently asked
Why is the facility amount lower than the non-facility amount?
The facility amount uses a lower practice-expense RVU because the facility (e.g., hospital or ASC) absorbs certain overhead and equipment costs, whereas the non-facility rate assumes the physician's practice bears those costs.
Does this figure reflect what Medicare will actually pay?
No. It reflects the PFS allowed amount estimate. Medicare generally reimburses 80% of this amount after the deductible, and the final payment can be affected by modifiers, sequestration, and locality adjustments.
Why can't you show the CPT code's description?
CPT descriptors are copyrighted and licensed by the American Medical Association, so this page refers to the code generically instead of reproducing the official language.
Why do amounts differ by locality?
Each locality has its own Geographic Practice Cost Indices (GPCIs) for work, practice expense, and malpractice, which adjust the RVUs to reflect regional differences in cost of living and practice costs.
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.
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