Medicare Reimbursement for CPT 24120

CPT 24120 is a surgical procedure code reported to Medicare and other payers. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both nationally and adjusted for your locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$507.36	$507.36
ALASKA* (AK)	$613.95	$613.95
ALABAMA (AL)	$457.87	$457.87
ARKANSAS (AR)	$451.74	$451.74
ARIZONA (AZ)	$493.46	$493.46
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$601.32	$601.32
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$611.10	$611.10
OXNARD-THOUSAND OAKS-VENTURA (CA)	$540.47	$540.47
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$545.44	$545.44
NAPA (CA)	$575.81	$575.81
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$602.85	$602.85
VALLEJO (CA)	$573.61	$573.61
BAKERSFIELD (CA)	$517.17	$517.17
CHICO (CA)	$513.46	$513.46
FRESNO (CA)	$513.46	$513.46
HANFORD-CORCORAN (CA)	$513.46	$513.46
MADERA (CA)	$513.46	$513.46
MERCED (CA)	$513.46	$513.46
MODESTO (CA)	$513.46	$513.46
REDDING (CA)	$513.46	$513.46
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$527.87	$527.87
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$533.79	$533.79
SALINAS (CA)	$531.72	$531.72
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$617.32	$617.32
SANTA CRUZ-WATSONVILLE (CA)	$542.96	$542.96
SANTA ROSA-PETALUMA (CA)	$548.09	$548.09
STOCKTON (CA)	$513.46	$513.46
VISALIA (CA)	$513.46	$513.46
YUBA CITY (CA)	$513.46	$513.46
EL CENTRO (CA)	$513.68	$513.68
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$540.66	$540.66
SAN LUIS OBISPO-PASO ROBLES (CA)	$523.80	$523.80
SANTA MARIA-SANTA BARBARA (CA)	$532.73	$532.73
REST OF CALIFORNIA (CA)	$513.46	$513.46
COLORADO (CO)	$515.61	$515.61
CONNECTICUT (CT)	$539.72	$539.72
DC + MD/VA SUBURBS (DC)	$567.22	$567.22
DELAWARE (DE)	$501.06	$501.06
FORT LAUDERDALE (FL)	$546.65	$546.65
MIAMI (FL)	$585.65	$585.65
REST OF FLORIDA (FL)	$519.29	$519.29
ATLANTA (GA)	$520.87	$520.87
REST OF GEORGIA (GA)	$489.98	$489.98
HAWAII, GUAM (HI)	$521.46	$521.46
IOWA (IA)	$459.93	$459.93
IDAHO (ID)	$464.53	$464.53
EAST ST. LOUIS (IL)	$533.50	$533.50
SUBURBAN CHICAGO (IL)	$549.96	$549.96
CHICAGO (IL)	$568.08	$568.08
REST OF ILLINOIS (IL)	$511.64	$511.64
INDIANA (IN)	$466.80	$466.80
KANSAS (KS)	$462.07	$462.07
KENTUCKY (KY)	$476.86	$476.86
NEW ORLEANS (LA)	$499.26	$499.26
REST OF LOUISIANA (LA)	$477.82	$477.82
METROPOLITAN BOSTON (MA)	$558.20	$558.20
REST OF MASSACHUSETTS (MA)	$514.57	$514.57
BALTIMORE/SURR. CNTYS (MD)	$539.08	$539.08
REST OF MARYLAND (MD)	$508.80	$508.80
SOUTHERN MAINE (ME)	$488.68	$488.68
REST OF MAINE (ME)	$471.20	$471.20
DETROIT (MI)	$529.65	$529.65
REST OF MICHIGAN (MI)	$492.21	$492.21
MINNESOTA (MN)	$482.82	$482.82
METROPOLITAN ST. LOUIS (MO)	$495.91	$495.91
METROPOLITAN KANSAS CITY (MO)	$491.66	$491.66
REST OF MISSOURI (MO)	$473.01	$473.01
MISSISSIPPI (MS)	$462.25	$462.25
MONTANA** (MT)	$507.27	$507.27
NORTH CAROLINA (NC)	$475.09	$475.09
NORTH DAKOTA** (ND)	$480.77	$480.77
NEBRASKA (NE)	$461.00	$461.00
NEW HAMPSHIRE (NH)	$511.62	$511.62
NORTHERN NJ (NJ)	$562.87	$562.87
REST OF NEW JERSEY (NJ)	$542.71	$542.71
NEW MEXICO (NM)	$496.40	$496.40
NEVADA** (NV)	$500.13	$500.13
MANHATTAN (NY)	$586.76	$586.76
NYC SUBURBS/LONG ISLAND (NY)	$605.38	$605.38
POUGHKPSIE/N NYC SUBURBS (NY)	$549.60	$549.60
QUEENS (NY)	$585.13	$585.13
REST OF NEW YORK (NY)	$482.04	$482.04
OHIO (OH)	$486.80	$486.80
OKLAHOMA (OK)	$471.65	$471.65
PORTLAND (OR)	$526.15	$526.15
REST OF OREGON (OR)	$493.10	$493.10
METROPOLITAN PHILADELPHIA (PA)	$529.86	$529.86
REST OF PENNSYLVANIA (PA)	$485.18	$485.18
PUERTO RICO (PR)	$509.33	$509.33
RHODE ISLAND (RI)	$514.68	$514.68
SOUTH CAROLINA (SC)	$482.37	$482.37
SOUTH DAKOTA** (SD)	$477.64	$477.64
TENNESSEE (TN)	$464.75	$464.75
BRAZORIA (TX)	$497.13	$497.13
DALLAS (TX)	$502.04	$502.04
GALVESTON (TX)	$499.75	$499.75
HOUSTON (TX)	$524.28	$524.28
BEAUMONT (TX)	$482.54	$482.54
FORT WORTH (TX)	$500.22	$500.22
AUSTIN (TX)	$516.65	$516.65
REST OF TEXAS (TX)	$490.75	$490.75
UTAH (UT)	$488.37	$488.37
VIRGINIA (VA)	$490.11	$490.11
VIRGIN ISLANDS (VI)	$509.33	$509.33
VERMONT (VT)	$482.84	$482.84
SEATTLE (KING CNTY) (WA)	$564.87	$564.87
REST OF WASHINGTON (WA)	$512.30	$512.30
WISCONSIN (WI)	$466.29	$466.29
WEST VIRGINIA (WV)	$495.15	$495.15
WYOMING** (WY)	$495.72	$495.72

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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 — each adjusted by the Geographic Practice Cost Index (GPCI) for the locality where the service is performed. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice expense RVUs typically differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why the two amounts can diverge for the same code. For CPT 24120, the practice expense RVU is the same in both settings in this dataset, so the resulting allowed amounts match. Because GPCIs vary by locality, the same code can price differently depending on where it is billed.

RVUs — work 6.65, practice expense 7.2 (non-facility) / 7.2 (facility), malpractice 1.34 — × 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 their deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, place of service, multiple-procedure reductions, and sequestration can change the actual paid amount.
Annual updates to RVUs, GPCIs, and the conversion factor (including budget-neutrality adjustments) can shift amounts year to year.
Always verify current rates and coverage policy with your Medicare Administrative Contractor (MAC).

Frequently asked

Why is the non-facility and facility amount the same for this code?

The practice expense RVU used in this dataset is identical for both settings, so the formula produces the same allowed amount in each.

Why does my local payment differ from the national amount shown?

The national figure uses a standardized GPCI baseline, while your actual payment reflects the GPCI values for your specific Medicare locality, which adjust work, practice expense, and malpractice RVUs separately.

Does this amount include what the patient owes?

No. The figure shown is the total Medicare-allowed amount; Medicare generally pays 80% after the deductible, with the patient or secondary insurance typically covering the rest.

Will modifiers change this amount?

Yes. Modifiers such as those indicating bilateral procedures, reduced services, or assistant surgeon involvement 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.