Medicare Reimbursement for CPT 23150

This page covers a CPT procedure code (descriptor not shown here due to AMA licensing restrictions). It displays the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, shown nationally and adjustable by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$632.61	$632.61
ALASKA* (AK)	$768.23	$768.23
ALABAMA (AL)	$570.72	$570.72
ARKANSAS (AR)	$563.08	$563.08
ARIZONA (AZ)	$615.02	$615.02
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$739.69	$739.69
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$751.29	$751.29
OXNARD-THOUSAND OAKS-VENTURA (CA)	$668.51	$668.51
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$675.10	$675.10
NAPA (CA)	$709.72	$709.72
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$741.79	$741.79
VALLEJO (CA)	$706.69	$706.69
BAKERSFIELD (CA)	$640.90	$640.90
CHICO (CA)	$635.81	$635.81
FRESNO (CA)	$635.81	$635.81
HANFORD-CORCORAN (CA)	$635.81	$635.81
MADERA (CA)	$635.81	$635.81
MERCED (CA)	$635.81	$635.81
MODESTO (CA)	$635.81	$635.81
REDDING (CA)	$635.81	$635.81
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$655.69	$655.69
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$660.12	$660.12
SALINAS (CA)	$657.55	$657.55
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$759.88	$759.88
SANTA CRUZ-WATSONVILLE (CA)	$670.36	$670.36
SANTA ROSA-PETALUMA (CA)	$676.62	$676.62
STOCKTON (CA)	$635.81	$635.81
VISALIA (CA)	$635.81	$635.81
YUBA CITY (CA)	$635.81	$635.81
EL CENTRO (CA)	$636.12	$636.12
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$668.01	$668.01
SAN LUIS OBISPO-PASO ROBLES (CA)	$647.87	$647.87
SANTA MARIA-SANTA BARBARA (CA)	$658.64	$658.64
REST OF CALIFORNIA (CA)	$635.81	$635.81
COLORADO (CO)	$640.52	$640.52
CONNECTICUT (CT)	$673.00	$673.00
DC + MD/VA SUBURBS (DC)	$705.21	$705.21
DELAWARE (DE)	$624.46	$624.46
FORT LAUDERDALE (FL)	$686.19	$686.19
MIAMI (FL)	$738.60	$738.60
REST OF FLORIDA (FL)	$651.35	$651.35
ATLANTA (GA)	$650.39	$650.39
REST OF GEORGIA (GA)	$614.18	$614.18
HAWAII, GUAM (HI)	$645.04	$645.04
IOWA (IA)	$571.50	$571.50
IDAHO (ID)	$577.60	$577.60
EAST ST. LOUIS (IL)	$672.82	$672.82
SUBURBAN CHICAGO (IL)	$689.92	$689.92
CHICAGO (IL)	$716.07	$716.07
REST OF ILLINOIS (IL)	$642.99	$642.99
INDIANA (IN)	$580.37	$580.37
KANSAS (KS)	$575.03	$575.03
KENTUCKY (KY)	$596.22	$596.22
NEW ORLEANS (LA)	$624.46	$624.46
REST OF LOUISIANA (LA)	$597.75	$597.75
METROPOLITAN BOSTON (MA)	$692.15	$692.15
REST OF MASSACHUSETTS (MA)	$639.58	$639.58
BALTIMORE/SURR. CNTYS (MD)	$672.38	$672.38
REST OF MARYLAND (MD)	$633.82	$633.82
SOUTHERN MAINE (ME)	$607.29	$607.29
REST OF MAINE (ME)	$586.81	$586.81
DETROIT (MI)	$665.18	$665.18
REST OF MICHIGAN (MI)	$616.17	$616.17
MINNESOTA (MN)	$597.25	$597.25
METROPOLITAN ST. LOUIS (MO)	$619.27	$619.27
METROPOLITAN KANSAS CITY (MO)	$614.08	$614.08
REST OF MISSOURI (MO)	$592.29	$592.29
MISSISSIPPI (MS)	$577.49	$577.49
MONTANA** (MT)	$632.49	$632.49
NORTH CAROLINA (NC)	$591.51	$591.51
NORTH DAKOTA** (ND)	$595.91	$595.91
NEBRASKA (NE)	$572.57	$572.57
NEW HAMPSHIRE (NH)	$636.39	$636.39
NORTHERN NJ (NJ)	$699.99	$699.99
REST OF NEW JERSEY (NJ)	$676.03	$676.03
NEW MEXICO (NM)	$621.75	$621.75
NEVADA** (NV)	$622.57	$622.57
MANHATTAN (NY)	$732.85	$732.85
NYC SUBURBS/LONG ISLAND (NY)	$757.17	$757.17
POUGHKPSIE/N NYC SUBURBS (NY)	$685.30	$685.30
QUEENS (NY)	$729.56	$729.56
REST OF NEW YORK (NY)	$600.23	$600.23
OHIO (OH)	$608.70	$608.70
OKLAHOMA (OK)	$588.81	$588.81
PORTLAND (OR)	$652.58	$652.58
REST OF OREGON (OR)	$613.14	$613.14
METROPOLITAN PHILADELPHIA (PA)	$661.27	$661.27
REST OF PENNSYLVANIA (PA)	$606.21	$606.21
PUERTO RICO (PR)	$634.77	$634.77
RHODE ISLAND (RI)	$640.71	$640.71
SOUTH CAROLINA (SC)	$602.02	$602.02
SOUTH DAKOTA** (SD)	$591.58	$591.58
TENNESSEE (TN)	$578.47	$578.47
BRAZORIA (TX)	$618.82	$618.82
DALLAS (TX)	$625.33	$625.33
GALVESTON (TX)	$622.34	$622.34
HOUSTON (TX)	$656.20	$656.20
BEAUMONT (TX)	$602.97	$602.97
FORT WORTH (TX)	$623.33	$623.33
AUSTIN (TX)	$642.42	$642.42
REST OF TEXAS (TX)	$612.31	$612.31
UTAH (UT)	$609.48	$609.48
VIRGINIA (VA)	$609.68	$609.68
VIRGIN ISLANDS (VI)	$634.77	$634.77
VERMONT (VT)	$599.28	$599.28
SEATTLE (KING CNTY) (WA)	$699.51	$699.51
REST OF WASHINGTON (WA)	$636.49	$636.49
WISCONSIN (WI)	$578.07	$578.07
WEST VIRGINIA (WV)	$622.49	$622.49
WYOMING** (WY)	$616.55	$616.55

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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 PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is billed, then the adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different practice-expense RVUs, reflecting the fact that overhead costs differ depending on where the service is performed. For this code, the practice-expense RVU is the same in both settings, so the non-facility and facility national amounts shown are identical.

RVUs — work 8.69, practice expense 8.4 (non-facility) / 8.4 (facility), malpractice 1.85 — × 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 beneficiary meets the Part B deductible; the beneficiary or secondary payer is responsible for the remainder.
Actual payment can vary by locality GPCI values, applicable modifiers, claim-specific adjustments, sequestration, and annual budget-neutrality changes to RVUs or the conversion factor.
Always confirm final allowed amounts with your Medicare Administrative Contractor (MAC) or official fee schedule lookup tool.

Frequently asked

Why does the amount differ by locality?

Medicare adjusts each RVU component using locality-specific GPCIs to account for regional differences in wages, rents, and malpractice costs, which changes the final allowed amount even though the underlying RVUs stay the same.

Why are the non-facility and facility amounts the same for this code?

Because the practice-expense RVU is identical in both settings for this code, the calculated amounts come out the same; for many other codes, these RVUs differ, producing different facility vs. non-facility amounts.

Does this amount reflect what the practice will actually collect?

No. It reflects the Medicare-allowed amount before cost-sharing; actual collections depend on the patient's deductible status, coinsurance, secondary coverage, and any applicable modifiers or adjustments.

Can this amount change during the year?

Yes. CMS updates RVUs and the conversion factor annually, and mid-year adjustments (e.g., sequestration or legislative changes) can also affect the final paid amount.

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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.