Medicare Reimbursement for CPT 23184

This page shows the estimated Medicare Physician Fee Schedule (PFS) allowed amount for this procedure code, both at the national level and adjusted for local cost differences. Amounts are shown for non-facility and facility settings, since practice expense inputs can differ between the two. CPT code descriptors are licensed by the AMA and are not reproduced here.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$696.41	$696.41
ALASKA* (AK)	$846.86	$846.86
ALABAMA (AL)	$628.59	$628.59
ARKANSAS (AR)	$620.22	$620.22
ARIZONA (AZ)	$677.11	$677.11
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$813.29	$813.29
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$826.01	$826.01
OXNARD-THOUSAND OAKS-VENTURA (CA)	$735.43	$735.43
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$742.72	$742.72
NAPA (CA)	$780.48	$780.48
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$815.61	$815.61
VALLEJO (CA)	$777.15	$777.15
BAKERSFIELD (CA)	$705.26	$705.26
CHICO (CA)	$699.64	$699.64
FRESNO (CA)	$699.64	$699.64
HANFORD-CORCORAN (CA)	$699.64	$699.64
MADERA (CA)	$699.64	$699.64
MERCED (CA)	$699.64	$699.64
MODESTO (CA)	$699.64	$699.64
REDDING (CA)	$699.64	$699.64
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$721.57	$721.57
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$726.27	$726.27
SALINAS (CA)	$723.43	$723.43
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$835.48	$835.48
SANTA CRUZ-WATSONVILLE (CA)	$737.34	$737.34
SANTA ROSA-PETALUMA (CA)	$744.22	$744.22
STOCKTON (CA)	$699.64	$699.64
VISALIA (CA)	$699.64	$699.64
YUBA CITY (CA)	$699.64	$699.64
EL CENTRO (CA)	$699.98	$699.98
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$734.84	$734.84
SAN LUIS OBISPO-PASO ROBLES (CA)	$712.80	$712.80
SANTA MARIA-SANTA BARBARA (CA)	$724.61	$724.61
REST OF CALIFORNIA (CA)	$699.64	$699.64
COLORADO (CO)	$704.94	$704.94
CONNECTICUT (CT)	$740.72	$740.72
DC + MD/VA SUBURBS (DC)	$775.97	$775.97
DELAWARE (DE)	$687.47	$687.47
FORT LAUDERDALE (FL)	$755.44	$755.44
MIAMI (FL)	$813.14	$813.14
REST OF FLORIDA (FL)	$717.22	$717.22
ATLANTA (GA)	$715.97	$715.97
REST OF GEORGIA (GA)	$676.45	$676.45
HAWAII, GUAM (HI)	$709.64	$709.64
IOWA (IA)	$629.32	$629.32
IDAHO (ID)	$636.02	$636.02
EAST ST. LOUIS (IL)	$741.02	$741.02
SUBURBAN CHICAGO (IL)	$759.53	$759.53
CHICAGO (IL)	$788.43	$788.43
REST OF ILLINOIS (IL)	$708.15	$708.15
INDIANA (IN)	$639.05	$639.05
KANSAS (KS)	$633.24	$633.24
KENTUCKY (KY)	$656.66	$656.66
NEW ORLEANS (LA)	$687.62	$687.62
REST OF LOUISIANA (LA)	$658.36	$658.36
METROPOLITAN BOSTON (MA)	$761.48	$761.48
REST OF MASSACHUSETTS (MA)	$703.95	$703.95
BALTIMORE/SURR. CNTYS (MD)	$740.05	$740.05
REST OF MARYLAND (MD)	$697.72	$697.72
SOUTHERN MAINE (ME)	$668.51	$668.51
REST OF MAINE (ME)	$646.18	$646.18
DETROIT (MI)	$732.44	$732.44
REST OF MICHIGAN (MI)	$678.58	$678.58
MINNESOTA (MN)	$657.31	$657.31
METROPOLITAN ST. LOUIS (MO)	$681.86	$681.86
METROPOLITAN KANSAS CITY (MO)	$676.18	$676.18
REST OF MISSOURI (MO)	$652.42	$652.42
MISSISSIPPI (MS)	$636.10	$636.10
MONTANA** (MT)	$696.27	$696.27
NORTH CAROLINA (NC)	$651.31	$651.31
NORTH DAKOTA** (ND)	$655.93	$655.93
NEBRASKA (NE)	$630.47	$630.47
NEW HAMPSHIRE (NH)	$700.44	$700.44
NORTHERN NJ (NJ)	$770.30	$770.30
REST OF NEW JERSEY (NJ)	$744.06	$744.06
NEW MEXICO (NM)	$684.71	$684.71
NEVADA** (NV)	$685.34	$685.34
MANHATTAN (NY)	$806.53	$806.53
NYC SUBURBS/LONG ISLAND (NY)	$833.26	$833.26
POUGHKPSIE/N NYC SUBURBS (NY)	$754.29	$754.29
QUEENS (NY)	$802.84	$802.84
REST OF NEW YORK (NY)	$660.87	$660.87
OHIO (OH)	$670.34	$670.34
OKLAHOMA (OK)	$648.48	$648.48
PORTLAND (OR)	$718.08	$718.08
REST OF OREGON (OR)	$674.95	$674.95
METROPOLITAN PHILADELPHIA (PA)	$727.91	$727.91
REST OF PENNSYLVANIA (PA)	$667.57	$667.57
PUERTO RICO (PR)	$698.75	$698.75
RHODE ISLAND (RI)	$705.27	$705.27
SOUTH CAROLINA (SC)	$662.94	$662.94
SOUTH DAKOTA** (SD)	$651.17	$651.17
TENNESSEE (TN)	$637.02	$637.02
BRAZORIA (TX)	$681.24	$681.24
DALLAS (TX)	$688.41	$688.41
GALVESTON (TX)	$685.13	$685.13
HOUSTON (TX)	$722.47	$722.47
BEAUMONT (TX)	$664.04	$664.04
FORT WORTH (TX)	$686.24	$686.24
AUSTIN (TX)	$707.03	$707.03
REST OF TEXAS (TX)	$674.20	$674.20
UTAH (UT)	$671.10	$671.10
VIRGINIA (VA)	$671.18	$671.18
VIRGIN ISLANDS (VI)	$698.75	$698.75
VERMONT (VT)	$659.69	$659.69
SEATTLE (KING CNTY) (WA)	$769.51	$769.51
REST OF WASHINGTON (WA)	$700.53	$700.53
WISCONSIN (WI)	$636.41	$636.41
WEST VIRGINIA (WV)	$685.70	$685.70
WYOMING** (WY)	$678.69	$678.69

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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 each procedure code. Each RVU component is adjusted using 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 Medicare conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs because overhead costs are handled differently in each setting. For this code, the non-facility and facility practice-expense RVUs are the same, so the resulting national amounts are identical in both settings — though locality adjustments may still cause variation across regions.

RVUs — work 9.65, practice expense 9.16 (non-facility) / 9.16 (facility), malpractice 2.04 — × 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 Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, sequestration, and annual budget-neutrality adjustments to RVUs or the conversion factor.
Always verify the current fee schedule amount and any applicable edits with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the amount differ between my locality and the national rate shown here?

The national amount uses an average GPCI, while actual payment is adjusted using the GPCIs specific to the locality where the service was performed, which can raise or lower the final amount.

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

Because the practice-expense RVUs are identical in both settings for this code, the calculated allowed amount does not differ between non-facility and facility placements of service, though this can vary by code and by locality.

Does this amount include the Part B deductible?

No. The amount shown represents the full allowed amount before cost-sharing; Medicare generally pays 80% of this amount after the patient has met the annual Part B deductible.

Will modifiers change this amount?

Yes. Certain modifiers (e.g., for bilateral procedures, assistant surgeons, or reduced services) can increase or decrease the final payment relative to the base PFS amount shown here.

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.