Medicare Reimbursement for CPT 20703

This page covers the Medicare Physician Fee Schedule (PFS) allowed amount for this procedure code. It shows the national estimate as well as how the amount can vary by locality, and separately for non-facility (e.g., office) and facility (e.g., hospital, ASC) settings. All figures are estimates derived from published Medicare rate-setting inputs.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$108.55	$90.18
ALASKA* (AK)	$134.66	$115.09
ALABAMA (AL)	$98.41	$82.34
ARKANSAS (AR)	$97.17	$81.39
ARIZONA (AZ)	$105.58	$87.77
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$122.04	$96.14
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$123.75	$97.26
OXNARD-THOUSAND OAKS-VENTURA (CA)	$112.16	$90.45
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$113.48	$91.75
NAPA (CA)	$117.80	$93.59
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$122.47	$96.57
VALLEJO (CA)	$117.18	$92.97
BAKERSFIELD (CA)	$108.27	$88.13
CHICO (CA)	$107.22	$87.09
FRESNO (CA)	$107.22	$87.09
HANFORD-CORCORAN (CA)	$107.22	$87.09
MADERA (CA)	$107.22	$87.09
MERCED (CA)	$107.22	$87.09
MODESTO (CA)	$107.22	$87.09
REDDING (CA)	$107.22	$87.09
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$111.30	$91.17
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$110.82	$89.46
SALINAS (CA)	$110.38	$89.09
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$125.52	$99.03
SANTA CRUZ-WATSONVILLE (CA)	$111.87	$89.55
SANTA ROSA-PETALUMA (CA)	$112.88	$90.32
STOCKTON (CA)	$107.22	$87.09
VISALIA (CA)	$107.22	$87.09
YUBA CITY (CA)	$107.22	$87.09
EL CENTRO (CA)	$107.29	$87.15
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$111.77	$89.80
SAN LUIS OBISPO-PASO ROBLES (CA)	$108.82	$87.89
SANTA MARIA-SANTA BARBARA (CA)	$110.46	$89.04
REST OF CALIFORNIA (CA)	$107.22	$87.09
COLORADO (CO)	$108.85	$89.31
CONNECTICUT (CT)	$115.25	$95.46
DC + MD/VA SUBURBS (DC)	$119.76	$98.12
DELAWARE (DE)	$107.12	$88.97
FORT LAUDERDALE (FL)	$119.29	$100.68
MIAMI (FL)	$129.48	$110.36
REST OF FLORIDA (FL)	$113.31	$95.74
ATLANTA (GA)	$111.87	$93.21
REST OF GEORGIA (GA)	$106.99	$90.60
HAWAII, GUAM (HI)	$108.29	$87.40
IOWA (IA)	$97.75	$80.94
IDAHO (ID)	$98.90	$82.00
EAST ST. LOUIS (IL)	$118.46	$101.56
SUBURBAN CHICAGO (IL)	$119.76	$100.90
CHICAGO (IL)	$125.59	$107.12
REST OF ILLINOIS (IL)	$112.47	$95.70
INDIANA (IN)	$99.32	$82.29
KANSAS (KS)	$98.70	$82.09
KENTUCKY (KY)	$103.36	$87.03
NEW ORLEANS (LA)	$108.09	$90.81
REST OF LOUISIANA (LA)	$103.76	$87.50
METROPOLITAN BOSTON (MA)	$116.76	$94.83
REST OF MASSACHUSETTS (MA)	$108.88	$89.54
BALTIMORE/SURR. CNTYS (MD)	$115.21	$95.50
REST OF MARYLAND (MD)	$108.54	$89.95
SOUTHERN MAINE (ME)	$103.54	$85.33
REST OF MAINE (ME)	$100.79	$83.89
DETROIT (MI)	$115.96	$98.23
REST OF MICHIGAN (MI)	$106.96	$90.19
MINNESOTA (MN)	$100.69	$81.79
METROPOLITAN ST. LOUIS (MO)	$106.80	$89.31
METROPOLITAN KANSAS CITY (MO)	$106.00	$88.75
REST OF MISSOURI (MO)	$103.11	$87.27
MISSISSIPPI (MS)	$100.09	$84.27
MONTANA** (MT)	$108.53	$90.16
NORTH CAROLINA (NC)	$101.49	$84.35
NORTH DAKOTA** (ND)	$101.01	$82.64
NEBRASKA (NE)	$97.80	$80.85
NEW HAMPSHIRE (NH)	$108.49	$89.36
NORTHERN NJ (NJ)	$119.05	$97.74
REST OF NEW JERSEY (NJ)	$115.55	$95.49
NEW MEXICO (NM)	$108.03	$91.18
NEVADA** (NV)	$106.47	$88.08
MANHATTAN (NY)	$125.76	$104.41
NYC SUBURBS/LONG ISLAND (NY)	$130.20	$108.36
POUGHKPSIE/N NYC SUBURBS (NY)	$117.39	$97.27
QUEENS (NY)	$124.67	$102.96
REST OF NEW YORK (NY)	$102.93	$85.48
OHIO (OH)	$105.43	$88.66
OKLAHOMA (OK)	$101.76	$85.35
PORTLAND (OR)	$110.36	$89.95
REST OF OREGON (OR)	$104.63	$86.34
METROPOLITAN PHILADELPHIA (PA)	$113.58	$94.46
REST OF PENNSYLVANIA (PA)	$104.81	$87.95
PUERTO RICO (PR)	$108.77	$90.20
RHODE ISLAND (RI)	$109.52	$90.55
SOUTH CAROLINA (SC)	$103.83	$86.86
SOUTH DAKOTA** (SD)	$100.13	$81.75
TENNESSEE (TN)	$99.30	$82.60
BRAZORIA (TX)	$105.90	$87.69
DALLAS (TX)	$107.13	$88.83
GALVESTON (TX)	$106.58	$88.34
HOUSTON (TX)	$113.54	$95.29
BEAUMONT (TX)	$104.32	$87.60
FORT WORTH (TX)	$106.93	$88.81
AUSTIN (TX)	$109.37	$89.94
REST OF TEXAS (TX)	$105.43	$88.00
UTAH (UT)	$105.03	$87.77
VIRGINIA (VA)	$104.19	$86.13
VIRGIN ISLANDS (VI)	$108.77	$90.20
VERMONT (VT)	$101.91	$83.73
SEATTLE (KING CNTY) (WA)	$117.59	$95.04
REST OF WASHINGTON (WA)	$108.25	$88.90
WISCONSIN (WI)	$98.21	$80.61
WEST VIRGINIA (WV)	$109.17	$93.20
WYOMING** (WY)	$105.25	$86.88

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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: 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 fee for a code is built from three Relative Value Units (RVUs): physician work, practice expense, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is furnished, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Practice-expense RVUs differ between non-facility and facility settings because overhead costs (e.g., supplies, staff time) are assumed to be lower when a service is performed in a facility that bills separately for those costs.

RVUs — work 1.76, practice expense 1.11 (non-facility) / 0.56 (facility), malpractice 0.38 — × 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 deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment can be affected by modifiers, place of service, sequestration, and annual budget-neutrality adjustments.
Rates vary by locality based on GPCI values; the national figure is a reference point, not a locality-specific payment.
Always verify the current allowed amount 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?

The practice-expense RVU is lower in the facility setting because the facility (e.g., hospital or ASC) bears a portion of the overhead costs and bills for them separately.

Why might the amount I was paid differ from the national figure shown here?

Medicare payments are adjusted by locality-specific GPCIs, and may also reflect modifiers, sequestration, or other claim-specific adjustments not captured in the national estimate.

Does this amount reflect what the patient owes?

No. The allowed amount is the total Medicare-approved rate; typically Medicare pays 80% after the deductible, with the remaining 20% being the patient's or secondary payer's responsibility.

Where can I find the official rate for my locality?

Your Medicare Administrative Contractor (MAC) publishes locality-specific fee schedules, which should be used to confirm exact reimbursement for billing or appeals.

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.