Medicare Reimbursement for CPT 15740

CPT 15740 is a surgical procedure code reported to Medicare and other payers; because CPT descriptors are licensed by the AMA, this page refers to it generically rather than quoting the official language. Below you'll find the Medicare Physician Fee Schedule (PFS) allowed amount for this code, shown nationally 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)	$1049.46	$751.19
ALASKA* (AK)	$1253.31	$935.66
ALABAMA (AL)	$947.34	$686.35
ARKANSAS (AR)	$934.55	$678.33
ARIZONA (AZ)	$1021.90	$732.87
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1298.10	$877.54
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1321.46	$891.35
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1146.90	$794.34
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1155.02	$802.17
NAPA (CA)	$1235.37	$842.25
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1300.19	$879.63
VALLEJO (CA)	$1232.36	$839.24
BAKERSFIELD (CA)	$1090.67	$763.77
CHICO (CA)	$1085.42	$758.51
FRESNO (CA)	$1085.42	$758.51
HANFORD-CORCORAN (CA)	$1085.42	$758.51
MADERA (CA)	$1085.42	$758.51
MERCED (CA)	$1085.42	$758.51
MODESTO (CA)	$1085.42	$758.51
REDDING (CA)	$1085.42	$758.51
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1105.28	$778.38
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1133.16	$786.27
SALINAS (CA)	$1128.82	$783.13
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1330.00	$899.89
SANTA CRUZ-WATSONVILLE (CA)	$1158.78	$796.38
SANTA ROSA-PETALUMA (CA)	$1170.08	$803.81
STOCKTON (CA)	$1085.42	$758.51
VISALIA (CA)	$1085.42	$758.51
YUBA CITY (CA)	$1085.42	$758.51
EL CENTRO (CA)	$1085.72	$758.82
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1151.14	$794.41
SAN LUIS OBISPO-PASO ROBLES (CA)	$1111.37	$771.64
SANTA MARIA-SANTA BARBARA (CA)	$1131.89	$784.11
REST OF CALIFORNIA (CA)	$1085.42	$758.51
COLORADO (CO)	$1079.24	$761.88
CONNECTICUT (CT)	$1116.52	$795.29
DC + MD/VA SUBURBS (DC)	$1184.59	$833.23
DELAWARE (DE)	$1037.93	$743.24
FORT LAUDERDALE (FL)	$1106.96	$804.81
MIAMI (FL)	$1168.17	$857.67
REST OF FLORIDA (FL)	$1053.81	$768.67
ATLANTA (GA)	$1072.62	$769.58
REST OF GEORGIA (GA)	$996.07	$730.02
HAWAII, GUAM (HI)	$1106.27	$767.14
IOWA (IA)	$961.10	$688.18
IDAHO (ID)	$968.78	$694.38
EAST ST. LOUIS (IL)	$1063.49	$789.08
SUBURBAN CHICAGO (IL)	$1115.89	$809.57
CHICAGO (IL)	$1134.75	$834.99
REST OF ILLINOIS (IL)	$1031.55	$759.23
INDIANA (IN)	$973.81	$697.31
KANSAS (KS)	$961.03	$691.40
KENTUCKY (KY)	$977.24	$712.08
NEW ORLEANS (LA)	$1022.20	$741.53
REST OF LOUISIANA (LA)	$977.47	$713.50
METROPOLITAN BOSTON (MA)	$1175.55	$819.41
REST OF MASSACHUSETTS (MA)	$1075.12	$761.04
BALTIMORE/SURR. CNTYS (MD)	$1114.23	$794.19
REST OF MARYLAND (MD)	$1055.50	$753.65
SOUTHERN MAINE (ME)	$1021.35	$725.76
REST OF MAINE (ME)	$977.94	$703.53
DETROIT (MI)	$1070.49	$782.66
REST OF MICHIGAN (MI)	$1004.88	$732.55
MINNESOTA (MN)	$1023.69	$716.77
METROPOLITAN ST. LOUIS (MO)	$1020.61	$736.66
METROPOLITAN KANSAS CITY (MO)	$1011.23	$731.15
REST OF MISSOURI (MO)	$964.57	$707.46
MISSISSIPPI (MS)	$949.52	$692.71
MONTANA** (MT)	$1049.33	$751.06
NORTH CAROLINA (NC)	$986.83	$708.55
NORTH DAKOTA** (ND)	$1012.95	$714.68
NEBRASKA (NE)	$964.76	$689.45
NEW HAMPSHIRE (NH)	$1066.52	$756.02
NORTHERN NJ (NJ)	$1174.42	$828.43
REST OF NEW JERSEY (NJ)	$1126.32	$800.61
NEW MEXICO (NM)	$1011.71	$738.20
NEVADA** (NV)	$1039.80	$741.23
MANHATTAN (NY)	$1207.85	$861.26
NYC SUBURBS/LONG ISLAND (NY)	$1240.80	$886.16
POUGHKPSIE/N NYC SUBURBS (NY)	$1137.00	$810.39
QUEENS (NY)	$1211.07	$858.52
REST OF NEW YORK (NY)	$1001.03	$717.67
OHIO (OH)	$997.44	$725.12
OKLAHOMA (OK)	$971.17	$704.82
PORTLAND (OR)	$1106.87	$775.49
REST OF OREGON (OR)	$1028.79	$731.71
METROPOLITAN PHILADELPHIA (PA)	$1092.98	$782.48
REST OF PENNSYLVANIA (PA)	$996.58	$722.77
PUERTO RICO (PR)	$1055.17	$753.62
RHODE ISLAND (RI)	$1070.04	$761.93
SOUTH CAROLINA (SC)	$994.37	$718.77
SOUTH DAKOTA** (SD)	$1008.65	$710.38
TENNESSEE (TN)	$966.08	$694.95
BRAZORIA (TX)	$1033.58	$737.99
DALLAS (TX)	$1041.78	$744.70
GALVESTON (TX)	$1037.74	$741.55
HOUSTON (TX)	$1071.42	$775.23
BEAUMONT (TX)	$990.77	$719.35
FORT WORTH (TX)	$1036.54	$742.44
AUSTIN (TX)	$1078.23	$762.66
REST OF TEXAS (TX)	$1012.71	$729.66
UTAH (UT)	$1006.97	$726.60
VIRGINIA (VA)	$1021.13	$727.93
VIRGIN ISLANDS (VI)	$1055.17	$753.62
VERMONT (VT)	$1013.06	$717.77
SEATTLE (KING CNTY) (WA)	$1194.44	$828.46
REST OF WASHINGTON (WA)	$1071.75	$757.68
WISCONSIN (WI)	$981.58	$695.84
WEST VIRGINIA (WV)	$996.88	$737.68
WYOMING** (WY)	$1033.48	$735.21

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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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice risk. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost-of-living and practice-cost differences. The locality-adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar allowed amount. Non-facility and facility amounts differ because the practice-expense RVU is lower in facility settings, where the facility itself (not the billing provider) bears many overhead costs.

RVUs — work 11.51, practice expense 18.07 (non-facility) / 9.14 (facility), malpractice 1.84 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

All figures shown are estimates based on the current year's published PFS rates and standard GPCIs — actual payment can differ.
Medicare typically pays 80% of the allowed amount after the patient meets the annual Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral billing, and site-of-service differences can change the actual paid amount.
Annual budget-neutrality adjustments, legislative changes, and sequestration can alter the conversion factor or final payment year to year.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

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 overhead costs like equipment, supplies, and staff are typically borne by the facility rather than the billing physician or practice.

Does this amount reflect what Medicare will actually pay?

No — it reflects the Medicare-allowed amount before cost-sharing. Medicare generally reimburses 80% of this amount after the deductible is met, with the patient or secondary insurer covering the rest.

Why might my locality's payment differ from the national amount?

Local GPCI values adjust the work, practice-expense, and malpractice RVUs to reflect regional cost differences, so the same code can have different allowed amounts in different parts of the country.

Can modifiers change this amount?

Yes. Modifiers such as those for bilateral procedures, multiple procedures, or assistant surgeons can increase, decrease, or otherwise adjust the base allowed amount shown here.

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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.