Medicare Reimbursement for CPT 15150

This page covers CPT code 15150, a procedure code defined by the American Medical Association (CPT descriptors are not reproduced here due to licensing). It shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, 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)	$763.54	$617.25
ALASKA* (AK)	$904.03	$748.23
ALABAMA (AL)	$680.96	$552.95
ARKANSAS (AR)	$670.76	$545.09
ARIZONA (AZ)	$740.07	$598.31
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$899.29	$693.01
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$913.59	$702.63
OXNARD-THOUSAND OAKS-VENTURA (CA)	$809.46	$636.54
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$817.18	$644.12
NAPA (CA)	$861.78	$668.96
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$902.08	$695.81
VALLEJO (CA)	$857.75	$664.94
BAKERSFIELD (CA)	$773.27	$612.93
CHICO (CA)	$766.66	$606.32
FRESNO (CA)	$766.66	$606.32
HANFORD-CORCORAN (CA)	$766.66	$606.32
MADERA (CA)	$766.66	$606.32
MERCED (CA)	$766.66	$606.32
MODESTO (CA)	$766.66	$606.32
REDDING (CA)	$766.66	$606.32
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$793.01	$632.67
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$797.63	$627.49
SALINAS (CA)	$794.60	$625.04
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$925.01	$714.05
SANTA CRUZ-WATSONVILLE (CA)	$812.56	$634.81
SANTA ROSA-PETALUMA (CA)	$820.20	$640.54
STOCKTON (CA)	$766.66	$606.32
VISALIA (CA)	$766.66	$606.32
YUBA CITY (CA)	$766.66	$606.32
EL CENTRO (CA)	$767.07	$606.73
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$808.67	$633.70
SAN LUIS OBISPO-PASO ROBLES (CA)	$782.80	$616.17
SANTA MARIA-SANTA BARBARA (CA)	$796.31	$625.73
REST OF CALIFORNIA (CA)	$766.66	$606.32
COLORADO (CO)	$773.25	$617.59
CONNECTICUT (CT)	$815.83	$658.27
DC + MD/VA SUBURBS (DC)	$856.18	$683.84
DELAWARE (DE)	$752.27	$607.73
FORT LAUDERDALE (FL)	$834.82	$686.62
MIAMI (FL)	$904.57	$752.28
REST OF FLORIDA (FL)	$788.36	$648.50
ATLANTA (GA)	$786.98	$638.35
REST OF GEORGIA (GA)	$738.77	$608.28
HAWAII, GUAM (HI)	$780.39	$614.05
IOWA (IA)	$682.09	$548.23
IDAHO (ID)	$690.21	$555.62
EAST ST. LOUIS (IL)	$816.83	$682.23
SUBURBAN CHICAGO (IL)	$839.26	$689.01
CHICAGO (IL)	$873.97	$726.94
REST OF ILLINOIS (IL)	$777.14	$643.57
INDIANA (IN)	$693.91	$558.29
KANSAS (KS)	$686.75	$554.50
KENTUCKY (KY)	$714.89	$584.83
NEW ORLEANS (LA)	$752.57	$614.90
REST OF LOUISIANA (LA)	$716.92	$587.45
METROPOLITAN BOSTON (MA)	$839.88	$665.21
REST OF MASSACHUSETTS (MA)	$771.66	$617.61
BALTIMORE/SURR. CNTYS (MD)	$815.32	$658.34
REST OF MARYLAND (MD)	$764.37	$616.32
SOUTHERN MAINE (ME)	$729.85	$584.87
REST OF MAINE (ME)	$702.45	$567.86
DETROIT (MI)	$806.77	$665.60
REST OF MICHIGAN (MI)	$741.48	$607.91
MINNESOTA (MN)	$716.59	$566.05
METROPOLITAN ST. LOUIS (MO)	$745.69	$606.41
METROPOLITAN KANSAS CITY (MO)	$738.75	$601.38
REST OF MISSOURI (MO)	$709.60	$583.49
MISSISSIPPI (MS)	$689.91	$563.95
MONTANA** (MT)	$763.38	$617.08
NORTH CAROLINA (NC)	$708.73	$572.23
NORTH DAKOTA** (ND)	$714.74	$568.44
NEBRASKA (NE)	$683.53	$548.50
NEW HAMPSHIRE (NH)	$768.67	$616.37
NORTHERN NJ (NJ)	$848.48	$678.77
REST OF NEW JERSEY (NJ)	$818.29	$658.54
NEW MEXICO (NM)	$748.90	$614.75
NEVADA** (NV)	$750.20	$603.76
MANHATTAN (NY)	$892.09	$722.10
NYC SUBURBS/LONG ISLAND (NY)	$924.50	$750.55
POUGHKPSIE/N NYC SUBURBS (NY)	$830.23	$670.04
QUEENS (NY)	$887.77	$714.85
REST OF NEW YORK (NY)	$720.37	$581.39
OHIO (OH)	$731.54	$597.97
OKLAHOMA (OK)	$705.05	$574.41
PORTLAND (OR)	$789.08	$626.54
REST OF OREGON (OR)	$737.64	$591.93
METROPOLITAN PHILADELPHIA (PA)	$800.30	$648.01
REST OF PENNSYLVANIA (PA)	$728.24	$593.94
PUERTO RICO (PR)	$766.44	$618.54
RHODE ISLAND (RI)	$772.87	$621.75
SOUTH CAROLINA (SC)	$722.69	$587.51
SOUTH DAKOTA** (SD)	$708.99	$562.69
TENNESSEE (TN)	$691.34	$558.35
BRAZORIA (TX)	$744.54	$599.56
DALLAS (TX)	$753.13	$607.42
GALVESTON (TX)	$749.23	$603.96
HOUSTON (TX)	$794.26	$648.99
BEAUMONT (TX)	$723.92	$590.79
FORT WORTH (TX)	$750.44	$606.19
AUSTIN (TX)	$776.56	$621.78
REST OF TEXAS (TX)	$736.43	$597.59
UTAH (UT)	$732.64	$595.12
VIRGINIA (VA)	$733.01	$589.20
VIRGIN ISLANDS (VI)	$766.44	$618.54
VERMONT (VT)	$719.20	$574.37
SEATTLE (KING CNTY) (WA)	$849.03	$669.52
REST OF WASHINGTON (WA)	$767.78	$613.73
WISCONSIN (WI)	$690.92	$550.77
WEST VIRGINIA (WV)	$749.78	$622.65
WYOMING** (WY)	$742.18	$595.89

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. 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 RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Non-facility (e.g., office) settings typically have higher practice-expense RVUs than facility settings (e.g., hospital), because the practice absorbs more overhead in a non-facility setting, which is why the two allowed amounts differ.

RVUs — work 9.16, practice expense 11.24 (non-facility) / 6.86 (facility), malpractice 2.46 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, based on national averages and standard GPCIs — your actual payment may differ.
Medicare typically pays 80% of the allowed amount after the patient meets their annual Part B deductible; the patient or secondary insurer is responsible for the remainder.
Modifiers, sequestration, multiple-procedure reductions, and annual budget-neutrality adjustments can all change the final paid amount.
Always confirm the exact allowed amount and any applicable adjustments with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why does the facility amount differ from the non-facility amount for this code?

The practice-expense RVU is lower in the facility setting because Medicare assumes the facility (e.g., hospital) — not the billing practice — incurs most of the overhead costs, such as equipment and supplies, for that setting.

Does this amount reflect what my practice will actually be paid?

No — this is a national or locality-adjusted estimate. Actual payment depends on the specific MAC, any modifiers applied, claim-specific adjustments, and sequestration reductions in effect at the time of service.

Why do these amounts change each year?

RVUs, GPCIs, and the conversion factor are reviewed and updated annually by CMS, which can shift the allowed amount even if the code's RVUs themselves don't change.

Can I use this figure to predict patient cost-sharing?

You can estimate: Medicare generally pays 80% of the allowed amount after the deductible is met, with the patient (or secondary payer) responsible for the remaining 20%, but exact patient liability can vary by plan and locality.

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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.