Medicare Reimbursement for CPT 15950

CPT 15950 is a procedure code defined by the American Medical Association; because CPT descriptors are licensed content, we refer to it generically here rather than reproducing the official description. This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted for locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$588.52	$588.52
ALASKA* (AK)	$715.65	$715.65
ALABAMA (AL)	$532.68	$532.68
ARKANSAS (AR)	$525.76	$525.76
ARIZONA (AZ)	$572.91	$572.91
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$699.73	$699.73
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$711.21	$711.21
OXNARD-THOUSAND OAKS-VENTURA (CA)	$628.29	$628.29
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$633.95	$633.95
NAPA (CA)	$669.76	$669.76
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$701.38	$701.38
VALLEJO (CA)	$667.38	$667.38
BAKERSFIELD (CA)	$601.30	$601.30
CHICO (CA)	$597.24	$597.24
FRESNO (CA)	$597.24	$597.24
HANFORD-CORCORAN (CA)	$597.24	$597.24
MADERA (CA)	$597.24	$597.24
MERCED (CA)	$597.24	$597.24
MODESTO (CA)	$597.24	$597.24
REDDING (CA)	$597.24	$597.24
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$612.85	$612.85
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$620.87	$620.87
SALINAS (CA)	$618.45	$618.45
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$717.94	$717.94
SANTA CRUZ-WATSONVILLE (CA)	$631.43	$631.43
SANTA ROSA-PETALUMA (CA)	$637.41	$637.41
STOCKTON (CA)	$597.24	$597.24
VISALIA (CA)	$597.24	$597.24
YUBA CITY (CA)	$597.24	$597.24
EL CENTRO (CA)	$597.48	$597.48
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$628.79	$628.79
SAN LUIS OBISPO-PASO ROBLES (CA)	$609.22	$609.22
SANTA MARIA-SANTA BARBARA (CA)	$619.62	$619.62
REST OF CALIFORNIA (CA)	$597.24	$597.24
COLORADO (CO)	$598.88	$598.88
CONNECTICUT (CT)	$625.37	$625.37
DC + MD/VA SUBURBS (DC)	$657.70	$657.70
DELAWARE (DE)	$581.60	$581.60
FORT LAUDERDALE (FL)	$631.28	$631.28
MIAMI (FL)	$674.00	$674.00
REST OF FLORIDA (FL)	$600.63	$600.63
ATLANTA (GA)	$603.50	$603.50
REST OF GEORGIA (GA)	$567.74	$567.74
HAWAII, GUAM (HI)	$606.30	$606.30
IOWA (IA)	$535.64	$535.64
IDAHO (ID)	$540.72	$540.72
EAST ST. LOUIS (IL)	$615.35	$615.35
SUBURBAN CHICAGO (IL)	$635.26	$635.26
CHICAGO (IL)	$654.47	$654.47
REST OF ILLINOIS (IL)	$591.56	$591.56
INDIANA (IN)	$543.30	$543.30
KANSAS (KS)	$537.76	$537.76
KENTUCKY (KY)	$553.49	$553.49
NEW ORLEANS (LA)	$578.68	$578.68
REST OF LOUISIANA (LA)	$554.45	$554.45
METROPOLITAN BOSTON (MA)	$647.96	$647.96
REST OF MASSACHUSETTS (MA)	$597.64	$597.64
BALTIMORE/SURR. CNTYS (MD)	$624.52	$624.52
REST OF MARYLAND (MD)	$590.51	$590.51
SOUTHERN MAINE (ME)	$568.15	$568.15
REST OF MAINE (ME)	$547.93	$547.93
DETROIT (MI)	$612.00	$612.00
REST OF MICHIGAN (MI)	$570.54	$570.54
MINNESOTA (MN)	$562.51	$562.51
METROPOLITAN ST. LOUIS (MO)	$575.25	$575.25
METROPOLITAN KANSAS CITY (MO)	$570.42	$570.42
REST OF MISSOURI (MO)	$548.82	$548.82
MISSISSIPPI (MS)	$537.16	$537.16
MONTANA** (MT)	$588.43	$588.43
NORTH CAROLINA (NC)	$552.38	$552.38
NORTH DAKOTA** (ND)	$559.76	$559.76
NEBRASKA (NE)	$536.95	$536.95
NEW HAMPSHIRE (NH)	$593.89	$593.89
NORTHERN NJ (NJ)	$652.86	$652.86
REST OF NEW JERSEY (NJ)	$629.31	$629.31
NEW MEXICO (NM)	$575.14	$575.14
NEVADA** (NV)	$580.71	$580.71
MANHATTAN (NY)	$678.77	$678.77
NYC SUBURBS/LONG ISLAND (NY)	$699.42	$699.42
POUGHKPSIE/N NYC SUBURBS (NY)	$636.93	$636.93
QUEENS (NY)	$677.37	$677.37
REST OF NEW YORK (NY)	$560.21	$560.21
OHIO (OH)	$564.68	$564.68
OKLAHOMA (OK)	$547.92	$547.92
PORTLAND (OR)	$611.23	$611.23
REST OF OREGON (OR)	$573.03	$573.03
METROPOLITAN PHILADELPHIA (PA)	$614.00	$614.00
REST OF PENNSYLVANIA (PA)	$563.02	$563.02
PUERTO RICO (PR)	$590.86	$590.86
RHODE ISLAND (RI)	$597.45	$597.45
SOUTH CAROLINA (SC)	$560.09	$560.09
SOUTH DAKOTA** (SD)	$556.37	$556.37
TENNESSEE (TN)	$540.75	$540.75
BRAZORIA (TX)	$577.45	$577.45
DALLAS (TX)	$582.89	$582.89
GALVESTON (TX)	$580.34	$580.34
HOUSTON (TX)	$606.88	$606.88
BEAUMONT (TX)	$560.01	$560.01
FORT WORTH (TX)	$580.73	$580.73
AUSTIN (TX)	$599.68	$599.68
REST OF TEXAS (TX)	$569.62	$569.62
UTAH (UT)	$566.87	$566.87
VIRGINIA (VA)	$569.55	$569.55
VIRGIN ISLANDS (VI)	$590.86	$590.86
VERMONT (VT)	$561.81	$561.81
SEATTLE (KING CNTY) (WA)	$655.97	$655.97
REST OF WASHINGTON (WA)	$595.11	$595.11
WISCONSIN (WI)	$543.31	$543.31
WEST VIRGINIA (WV)	$572.91	$572.91
WYOMING** (WY)	$575.93	$575.93

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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 the 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 furnished, to account for regional cost differences. The adjusted RVUs are summed and then multiplied by the annual national conversion factor to produce a dollar allowed amount. Non-facility and facility rates can differ because the practice-expense RVU is typically lower in a facility setting, reflecting that the facility (e.g., hospital) bears some of the overhead costs instead of the physician's office.

RVUs — work 7.83, practice expense 8.34 (non-facility) / 8.34 (facility), malpractice 1.45 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only; actual Medicare payment depends on the specific claim, locality, and any applicable modifiers.
Medicare typically pays 80% of the allowed amount after the patient's deductible is met; the beneficiary or secondary insurance is responsible for the remainder.
Amounts shown do not reflect sequestration reductions, which may lower actual payment.
Annual budget-neutrality adjustments and RVU updates can change this figure each calendar 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 rate differ from the non-facility rate for this code?

The practice-expense RVU component is usually lower in facility settings because overhead costs like equipment and supplies are often borne by the facility rather than the billing physician's practice.

Does this amount represent what Medicare will actually pay?

No. It represents the estimated allowed amount before the standard 80/20 split, deductible application, sequestration, and any locality- or modifier-specific adjustments.

Why can't you show the official CPT code description?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so we reference the code generically rather than reproducing the proprietary text.

Why might the amount differ from what my MAC's fee schedule shows?

Local GPCIs, mid-year rule changes, or outdated conversion factors can cause small discrepancies; always cross-check with your MAC's published fee schedule for the exact locality and year.

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.