Medicare Reimbursement for CPT 24077
CPT 24077 is a procedure code billed to Medicare under the Physician Fee Schedule (PFS). This page shows the estimated Medicare allowed amount for this code nationally and by locality, reflecting both non-facility and facility payment settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $957.94 | $957.94 |
| ALASKA* (AK) | $1182.34 | $1182.34 |
| ALABAMA (AL) | $865.77 | $865.77 |
| ARKANSAS (AR) | $854.51 | $854.51 |
| ARIZONA (AZ) | $930.79 | $930.79 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $1073.26 | $1073.26 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $1088.14 | $1088.14 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $987.52 | $987.52 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $999.34 | $999.34 |
| NAPA (CA) | $1036.49 | $1036.49 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $1077.27 | $1077.27 |
| VALLEJO (CA) | $1030.71 | $1030.71 |
| BAKERSFIELD (CA) | $953.05 | $953.05 |
| CHICO (CA) | $943.42 | $943.42 |
| FRESNO (CA) | $943.42 | $943.42 |
| HANFORD-CORCORAN (CA) | $943.42 | $943.42 |
| MADERA (CA) | $943.42 | $943.42 |
| MERCED (CA) | $943.42 | $943.42 |
| MODESTO (CA) | $943.42 | $943.42 |
| REDDING (CA) | $943.42 | $943.42 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $981.31 | $981.31 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $975.13 | $975.13 |
| SALINAS (CA) | $971.25 | $971.25 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $1104.53 | $1104.53 |
| SANTA CRUZ-WATSONVILLE (CA) | $984.50 | $984.50 |
| SANTA ROSA-PETALUMA (CA) | $993.37 | $993.37 |
| STOCKTON (CA) | $943.42 | $943.42 |
| VISALIA (CA) | $943.42 | $943.42 |
| YUBA CITY (CA) | $943.42 | $943.42 |
| EL CENTRO (CA) | $944.01 | $944.01 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $983.59 | $983.59 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $957.53 | $957.53 |
| SANTA MARIA-SANTA BARBARA (CA) | $972.01 | $972.01 |
| REST OF CALIFORNIA (CA) | $943.42 | $943.42 |
| COLORADO (CO) | $959.25 | $959.25 |
| CONNECTICUT (CT) | $1018.19 | $1018.19 |
| DC + MD/VA SUBURBS (DC) | $1057.29 | $1057.29 |
| DELAWARE (DE) | $944.65 | $944.65 |
| FORT LAUDERDALE (FL) | $1057.47 | $1057.47 |
| MIAMI (FL) | $1151.66 | $1151.66 |
| REST OF FLORIDA (FL) | $1002.81 | $1002.81 |
| ATLANTA (GA) | $988.42 | $988.42 |
| REST OF GEORGIA (GA) | $945.15 | $945.15 |
| HAWAII, GUAM (HI) | $953.24 | $953.24 |
| IOWA (IA) | $858.96 | $858.96 |
| IDAHO (ID) | $869.56 | $869.56 |
| EAST ST. LOUIS (IL) | $1051.25 | $1051.25 |
| SUBURBAN CHICAGO (IL) | $1061.40 | $1061.40 |
| CHICAGO (IL) | $1115.85 | $1115.85 |
| REST OF ILLINOIS (IL) | $995.78 | $995.78 |
| INDIANA (IN) | $873.39 | $873.39 |
| KANSAS (KS) | $867.97 | $867.97 |
| KENTUCKY (KY) | $911.51 | $911.51 |
| NEW ORLEANS (LA) | $954.62 | $954.62 |
| REST OF LOUISIANA (LA) | $915.27 | $915.27 |
| METROPOLITAN BOSTON (MA) | $1029.59 | $1029.59 |
| REST OF MASSACHUSETTS (MA) | $959.58 | $959.58 |
| BALTIMORE/SURR. CNTYS (MD) | $1018.02 | $1018.02 |
| REST OF MARYLAND (MD) | $957.33 | $957.33 |
| SOUTHERN MAINE (ME) | $911.48 | $911.48 |
| REST OF MAINE (ME) | $887.13 | $887.13 |
| DETROIT (MI) | $1027.34 | $1027.34 |
| REST OF MICHIGAN (MI) | $944.61 | $944.61 |
| MINNESOTA (MN) | $884.44 | $884.44 |
| METROPOLITAN ST. LOUIS (MO) | $942.43 | $942.43 |
| METROPOLITAN KANSAS CITY (MO) | $935.22 | $935.22 |
| REST OF MISSOURI (MO) | $909.61 | $909.61 |
| MISSISSIPPI (MS) | $881.57 | $881.57 |
| MONTANA** (MT) | $957.70 | $957.70 |
| NORTH CAROLINA (NC) | $893.40 | $893.40 |
| NORTH DAKOTA** (ND) | $887.90 | $887.90 |
| NEBRASKA (NE) | $859.35 | $859.35 |
| NEW HAMPSHIRE (NH) | $956.65 | $956.65 |
| NORTHERN NJ (NJ) | $1050.69 | $1050.69 |
| REST OF NEW JERSEY (NJ) | $1020.03 | $1020.03 |
| NEW MEXICO (NM) | $954.41 | $954.41 |
| NEVADA** (NV) | $938.58 | $938.58 |
| MANHATTAN (NY) | $1112.94 | $1112.94 |
| NYC SUBURBS/LONG ISLAND (NY) | $1153.74 | $1153.74 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $1036.90 | $1036.90 |
| QUEENS (NY) | $1102.52 | $1102.52 |
| REST OF NEW YORK (NY) | $906.52 | $906.52 |
| OHIO (OH) | $930.35 | $930.35 |
| OKLAHOMA (OK) | $896.55 | $896.55 |
| PORTLAND (OR) | $972.35 | $972.35 |
| REST OF OREGON (OR) | $921.61 | $921.61 |
| METROPOLITAN PHILADELPHIA (PA) | $1003.36 | $1003.36 |
| REST OF PENNSYLVANIA (PA) | $924.56 | $924.56 |
| PUERTO RICO (PR) | $959.78 | $959.78 |
| RHODE ISLAND (RI) | $965.76 | $965.76 |
| SOUTH CAROLINA (SC) | $915.32 | $915.32 |
| SOUTH DAKOTA** (SD) | $879.65 | $879.65 |
| TENNESSEE (TN) | $873.50 | $873.50 |
| BRAZORIA (TX) | $933.14 | $933.14 |
| DALLAS (TX) | $944.49 | $944.49 |
| GALVESTON (TX) | $939.46 | $939.46 |
| HOUSTON (TX) | $1004.07 | $1004.07 |
| BEAUMONT (TX) | $920.05 | $920.05 |
| FORT WORTH (TX) | $942.74 | $942.74 |
| AUSTIN (TX) | $964.54 | $964.54 |
| REST OF TEXAS (TX) | $929.77 | $929.77 |
| UTAH (UT) | $926.23 | $926.23 |
| VIRGINIA (VA) | $917.70 | $917.70 |
| VIRGIN ISLANDS (VI) | $959.78 | $959.78 |
| VERMONT (VT) | $896.41 | $896.41 |
| SEATTLE (KING CNTY) (WA) | $1036.42 | $1036.42 |
| REST OF WASHINGTON (WA) | $953.80 | $953.80 |
| WISCONSIN (WI) | $862.57 | $862.57 |
| WEST VIRGINIA (WV) | $965.79 | $965.79 |
| WYOMING** (WY) | $927.28 | $927.28 |
Look up another code or locality →
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 Physician Fee Schedule amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by the Geographic Practice Cost Indices (GPCIs) for the specific locality where the service is performed. These geographically adjusted RVUs are summed and multiplied by the annual national 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 differ by site of service, though for some codes these values are identical. The result is a per-service estimate before any applicable modifiers or adjustments are applied.
RVUs — work 15.33, practice expense 9.82 (non-facility) / 9.82 (facility), malpractice 3.53 — × 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 generally responsible for the remainder.
- Actual payment can vary by locality, facility type, modifiers (e.g., bilateral, multiple procedure), sequestration, and annual budget-neutrality adjustments.
- Always confirm the final allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.
Frequently asked
Why do the non-facility and facility amounts show the same value for this code?
When the practice-expense RVUs are identical for both settings, the calculated allowed amount is the same regardless of site of service.
Does this amount reflect what Medicare will actually pay me?
No — it's a national/locality-adjusted estimate based on standard RVUs and the conversion factor. Final payment depends on your specific MAC, any modifiers submitted, and claim-level adjustments.
Why might my locality's fee differ from the national amount?
The Geographic Practice Cost Indices (GPCIs) adjust work, practice expense, and malpractice RVUs to reflect regional cost differences, which changes the locality-specific allowed amount.
Can modifiers change this amount?
Yes — modifiers such as those for bilateral procedures, multiple procedures, or professional/technical component splits 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.
Bill accurately, get paid faster
Join providers across the country delivering modern virtual care with CareNiva. Free to start, ready in minutes.
100% Satisfaction Guaranteed — try it risk-free