Medicare Reimbursement for CPT 17273

This page covers a specific CPT procedure code (the official AMA descriptor is not reproduced here due to licensing restrictions). It shows the 2026 Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and, where available, by locality — broken out for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$204.08	$114.57
ALASKA* (AK)	$243.70	$148.36
ALABAMA (AL)	$185.06	$106.74
ARKANSAS (AR)	$182.66	$105.77
ARIZONA (AZ)	$199.12	$112.38
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$259.60	$133.39
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$264.57	$135.49
OXNARD-THOUSAND OAKS-VENTURA (CA)	$226.94	$121.14
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$228.24	$122.34
NAPA (CA)	$246.11	$128.13
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$259.83	$133.62
VALLEJO (CA)	$245.78	$127.80
BAKERSFIELD (CA)	$215.15	$117.04
CHICO (CA)	$214.52	$116.41
FRESNO (CA)	$214.52	$116.41
HANFORD-CORCORAN (CA)	$214.52	$116.41
MADERA (CA)	$214.52	$116.41
MERCED (CA)	$214.52	$116.41
MODESTO (CA)	$214.52	$116.41
REDDING (CA)	$214.52	$116.41
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$216.71	$118.60
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$224.46	$120.35
SALINAS (CA)	$223.60	$119.85
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$265.50	$136.42
SANTA CRUZ-WATSONVILLE (CA)	$230.14	$121.38
SANTA ROSA-PETALUMA (CA)	$232.43	$122.51
STOCKTON (CA)	$214.52	$116.41
VISALIA (CA)	$214.52	$116.41
YUBA CITY (CA)	$214.52	$116.41
EL CENTRO (CA)	$214.55	$116.45
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$228.34	$121.28
SAN LUIS OBISPO-PASO ROBLES (CA)	$220.06	$118.11
SANTA MARIA-SANTA BARBARA (CA)	$224.30	$119.93
REST OF CALIFORNIA (CA)	$214.52	$116.41
COLORADO (CO)	$211.69	$116.45
CONNECTICUT (CT)	$216.78	$120.37
DC + MD/VA SUBURBS (DC)	$231.48	$126.03
DELAWARE (DE)	$202.20	$113.76
FORT LAUDERDALE (FL)	$211.15	$120.48
MIAMI (FL)	$219.58	$126.40
REST OF FLORIDA (FL)	$201.77	$116.19
ATLANTA (GA)	$207.69	$116.74
REST OF GEORGIA (GA)	$191.44	$111.59
HAWAII, GUAM (HI)	$218.93	$117.15
IOWA (IA)	$189.09	$107.19
IDAHO (ID)	$190.24	$107.89
EAST ST. LOUIS (IL)	$200.54	$118.19
SUBURBAN CHICAGO (IL)	$213.20	$121.27
CHICAGO (IL)	$213.85	$123.89
REST OF ILLINOIS (IL)	$196.62	$114.90
INDIANA (IN)	$191.23	$108.25
KANSAS (KS)	$188.39	$107.47
KENTUCKY (KY)	$189.20	$109.62
NEW ORLEANS (LA)	$197.38	$113.15
REST OF LOUISIANA (LA)	$188.97	$109.75
METROPOLITAN BOSTON (MA)	$231.16	$124.28
REST OF MASSACHUSETTS (MA)	$210.65	$116.39
BALTIMORE/SURR. CNTYS (MD)	$216.17	$120.12
REST OF MARYLAND (MD)	$205.76	$115.17
SOUTHERN MAINE (ME)	$200.45	$111.75
REST OF MAINE (ME)	$191.24	$108.89
DETROIT (MI)	$204.15	$117.77
REST OF MICHIGAN (MI)	$193.72	$112.00
MINNESOTA (MN)	$203.12	$111.01
METROPOLITAN ST. LOUIS (MO)	$197.90	$112.69
METROPOLITAN KANSAS CITY (MO)	$196.06	$112.01
REST OF MISSOURI (MO)	$186.11	$108.95
MISSISSIPPI (MS)	$184.42	$107.34
MONTANA** (MT)	$204.07	$114.55
NORTH CAROLINA (NC)	$193.03	$109.51
NORTH DAKOTA** (ND)	$200.11	$110.60
NEBRASKA (NE)	$190.00	$107.38
NEW HAMPSHIRE (NH)	$208.53	$115.35
NORTHERN NJ (NJ)	$229.48	$125.64
REST OF NEW JERSEY (NJ)	$219.33	$121.58
NEW MEXICO (NM)	$194.72	$112.64
NEVADA** (NV)	$203.09	$113.49
MANHATTAN (NY)	$233.26	$129.25
NYC SUBURBS/LONG ISLAND (NY)	$238.55	$132.12
POUGHKPSIE/N NYC SUBURBS (NY)	$220.81	$122.79
QUEENS (NY)	$234.88	$129.07
REST OF NEW YORK (NY)	$195.65	$110.61
OHIO (OH)	$192.92	$111.19
OKLAHOMA (OK)	$188.79	$108.86
PORTLAND (OR)	$217.78	$118.33
REST OF OREGON (OR)	$201.58	$112.42
METROPOLITAN PHILADELPHIA (PA)	$211.89	$118.70
REST OF PENNSYLVANIA (PA)	$193.14	$110.97
PUERTO RICO (PR)	$205.40	$114.90
RHODE ISLAND (RI)	$208.91	$116.45
SOUTH CAROLINA (SC)	$193.28	$110.57
SOUTH DAKOTA** (SD)	$199.64	$110.13
TENNESSEE (TN)	$189.25	$107.89
BRAZORIA (TX)	$202.00	$113.29
DALLAS (TX)	$203.23	$114.08
GALVESTON (TX)	$202.58	$113.69
HOUSTON (TX)	$206.24	$117.35
BEAUMONT (TX)	$192.00	$110.54
FORT WORTH (TX)	$202.03	$113.77
AUSTIN (TX)	$210.93	$116.23
REST OF TEXAS (TX)	$196.86	$111.91
UTAH (UT)	$195.66	$111.52
VIRGINIA (VA)	$199.92	$111.93
VIRGIN ISLANDS (VI)	$205.40	$114.90
VERMONT (VT)	$199.49	$110.87
SEATTLE (KING CNTY) (WA)	$235.55	$125.71
REST OF WASHINGTON (WA)	$210.21	$115.95
WISCONSIN (WI)	$194.04	$108.29
WEST VIRGINIA (WV)	$190.07	$112.28
WYOMING** (WY)	$202.34	$112.83

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 4 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 PFS amounts are built from three Relative Value Units (RVUs) assigned to a code: 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 furnished, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Practice-expense RVUs differ between non-facility (e.g., physician office) and facility (e.g., hospital, ASC) settings because overhead costs differ, which is why the same code can show two different allowed amounts. These figures are recalculated annually and can shift due to rule changes even if the RVUs themselves stay the same.

RVUs — work 2.05, practice expense 3.86 (non-facility) / 1.18 (facility), malpractice 0.2 — × 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 patient meets the annual Part B deductible; the patient or secondary payer is responsible for the remainder.
Actual payment varies by locality, applicable modifiers, place of service, sequestration reductions, and annual budget-neutrality adjustments.
Always verify the current allowed amount and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why is the facility amount lower than the non-facility amount?

Facility amounts use lower practice-expense RVUs because the facility (hospital, ASC, etc.) — not the billing physician — absorbs most of the overhead and equipment costs for the service.

Does this amount apply to every locality?

No. The national figure is a baseline; actual payment is adjusted by locality-specific GPCIs, so the real allowed amount can be higher or lower depending on where the service is performed.

Can modifiers change this amount?

Yes. Modifiers such as those indicating bilateral procedures, reduced services, or multiple-procedure reductions can increase or decrease the final payment relative to the base PFS amount shown here.

Why might my remittance advice show a different amount than this page?

Differences can result from sequestration, annual budget-neutrality adjustments, secondary payer coordination, or claim-specific modifiers and edits not reflected in this baseline estimate.

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.