Medicare Reimbursement for CPT 15276

CPT 15276 is a procedure code billed to Medicare under the Physician Fee Schedule (PFS). This page shows the estimated Medicare allowed amount for this code at the national level and by locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$33.73	$22.04
ALASKA* (AK)	$41.85	$29.40
ALABAMA (AL)	$30.84	$20.61
ARKANSAS (AR)	$30.48	$20.44
ARIZONA (AZ)	$32.93	$21.60
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$40.11	$23.62
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$40.77	$23.91
OXNARD-THOUSAND OAKS-VENTURA (CA)	$36.05	$22.23
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$36.37	$22.54
NAPA (CA)	$38.40	$22.99
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$40.19	$23.70
VALLEJO (CA)	$38.28	$22.87
BAKERSFIELD (CA)	$34.57	$21.76
CHICO (CA)	$34.37	$21.56
FRESNO (CA)	$34.37	$21.56
HANFORD-CORCORAN (CA)	$34.37	$21.56
MADERA (CA)	$34.37	$21.56
MERCED (CA)	$34.37	$21.56
MODESTO (CA)	$34.37	$21.56
REDDING (CA)	$34.37	$21.56
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$35.13	$22.32
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$35.69	$22.09
SALINAS (CA)	$35.55	$22.00
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$41.09	$24.24
SANTA CRUZ-WATSONVILLE (CA)	$36.23	$22.02
SANTA ROSA-PETALUMA (CA)	$36.57	$22.21
STOCKTON (CA)	$34.37	$21.56
VISALIA (CA)	$34.37	$21.56
YUBA CITY (CA)	$34.37	$21.56
EL CENTRO (CA)	$34.38	$21.57
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$36.10	$22.12
SAN LUIS OBISPO-PASO ROBLES (CA)	$35.02	$21.70
SANTA MARIA-SANTA BARBARA (CA)	$35.60	$21.97
REST OF CALIFORNIA (CA)	$34.37	$21.56
COLORADO (CO)	$34.38	$21.94
CONNECTICUT (CT)	$35.71	$23.12
DC + MD/VA SUBURBS (DC)	$37.56	$23.79
DELAWARE (DE)	$33.40	$21.85
FORT LAUDERDALE (FL)	$35.82	$23.98
MIAMI (FL)	$37.93	$25.76
REST OF FLORIDA (FL)	$34.25	$23.07
ATLANTA (GA)	$34.49	$22.62
REST OF GEORGIA (GA)	$32.56	$22.13
HAWAII, GUAM (HI)	$34.81	$21.52
IOWA (IA)	$31.05	$20.35
IDAHO (ID)	$31.30	$20.55
EAST ST. LOUIS (IL)	$34.90	$24.15
SUBURBAN CHICAGO (IL)	$36.06	$24.05
CHICAGO (IL)	$36.95	$25.20
REST OF ILLINOIS (IL)	$33.74	$23.07
INDIANA (IN)	$31.44	$20.60
KANSAS (KS)	$31.13	$20.56
KENTUCKY (KY)	$31.87	$21.48
NEW ORLEANS (LA)	$33.17	$22.17
REST OF LOUISIANA (LA)	$31.91	$21.56
METROPOLITAN BOSTON (MA)	$37.06	$23.11
REST OF MASSACHUSETTS (MA)	$34.32	$22.01
BALTIMORE/SURR. CNTYS (MD)	$35.65	$23.10
REST OF MARYLAND (MD)	$33.89	$22.06
SOUTHERN MAINE (ME)	$32.74	$21.15
REST OF MAINE (ME)	$31.65	$20.89
DETROIT (MI)	$34.81	$23.53
REST OF MICHIGAN (MI)	$32.73	$22.06
MINNESOTA (MN)	$32.52	$20.50
METROPOLITAN ST. LOUIS (MO)	$33.02	$21.89
METROPOLITAN KANSAS CITY (MO)	$32.76	$21.79
REST OF MISSOURI (MO)	$31.60	$21.52
MISSISSIPPI (MS)	$31.04	$20.97
MONTANA** (MT)	$33.73	$22.04
NORTH CAROLINA (NC)	$31.88	$20.98
NORTH DAKOTA** (ND)	$32.35	$20.66
NEBRASKA (NE)	$31.12	$20.33
NEW HAMPSHIRE (NH)	$34.06	$21.89
NORTHERN NJ (NJ)	$37.33	$23.77
REST OF NEW JERSEY (NJ)	$36.00	$23.23
NEW MEXICO (NM)	$32.96	$22.24
NEVADA** (NV)	$33.36	$21.66
MANHATTAN (NY)	$38.59	$25.00
NYC SUBURBS/LONG ISLAND (NY)	$39.63	$25.73
POUGHKPSIE/N NYC SUBURBS (NY)	$36.39	$23.59
QUEENS (NY)	$38.55	$24.73
REST OF NEW YORK (NY)	$32.29	$21.18
OHIO (OH)	$32.45	$21.77
OKLAHOMA (OK)	$31.61	$21.17
PORTLAND (OR)	$35.07	$22.08
REST OF OREGON (OR)	$32.98	$21.34
METROPOLITAN PHILADELPHIA (PA)	$35.10	$22.93
REST OF PENNSYLVANIA (PA)	$32.37	$21.64
PUERTO RICO (PR)	$33.87	$22.05
RHODE ISLAND (RI)	$34.29	$22.21
SOUTH CAROLINA (SC)	$32.24	$21.44
SOUTH DAKOTA** (SD)	$32.18	$20.49
TENNESSEE (TN)	$31.28	$20.66
BRAZORIA (TX)	$33.22	$21.63
DALLAS (TX)	$33.49	$21.85
GALVESTON (TX)	$33.36	$21.75
HOUSTON (TX)	$34.64	$23.03
BEAUMONT (TX)	$32.22	$21.58
FORT WORTH (TX)	$33.37	$21.84
AUSTIN (TX)	$34.37	$22.00
REST OF TEXAS (TX)	$32.74	$21.65
UTAH (UT)	$32.59	$21.61
VIRGINIA (VA)	$32.79	$21.30
VIRGIN ISLANDS (VI)	$33.87	$22.05
VERMONT (VT)	$32.43	$20.86
SEATTLE (KING CNTY) (WA)	$37.54	$23.19
REST OF WASHINGTON (WA)	$34.19	$21.88
WISCONSIN (WI)	$31.49	$20.29
WEST VIRGINIA (WV)	$32.77	$22.61
WYOMING** (WY)	$33.13	$21.44

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 3 units 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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility and facility settings use different practice-expense RVUs because overhead costs differ when a service is performed in a physician's office versus a hospital or other facility.

RVUs — work 0.49, practice expense 0.45 (non-facility) / 0.1 (facility), malpractice 0.07 — × 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 patient or secondary payer is responsible for the rest.
Modifiers, place of service, multiple-procedure reductions, and sequestration can change the actual paid amount.
Annual budget-neutrality adjustments and RVU/GPCI updates mean amounts change each year.
Always confirm the current, locality-specific amount with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the amount differ between non-facility and facility settings?

The practice-expense RVU is lower in the facility setting because the facility (not the physician's office) absorbs most of the overhead costs like equipment and staff.

Why does the reimbursement amount vary by locality?

Each locality has its own Geographic Practice Cost Indices (GPCIs) for work, practice expense, and malpractice, which adjust the RVUs to reflect local cost-of-living and practice cost differences.

Is this the amount my practice will actually be paid?

No. This is a PFS-based estimate. Actual payment depends on the patient's deductible/coinsurance status, applicable modifiers, secondary insurance, and any claim-specific adjustments.

Where can I find the official rate for my area?

Your Medicare Administrative Contractor (MAC) publishes the finalized, locality-specific fee schedule, which should be used as the authoritative source for billing.

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.