Medicare Reimbursement for CPT 24125
This page covers the Medicare Physician Fee Schedule (PFS) estimated allowed amount for procedure code 24125, a CPT-coded service whose official descriptor is not reproduced here due to AMA licensing. Figures are shown as national averages and can be adjusted for locality, as well as compared between non-facility and facility payment settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $594.54 | $594.54 |
| ALASKA* (AK) | $719.53 | $719.53 |
| ALABAMA (AL) | $535.93 | $535.93 |
| ARKANSAS (AR) | $528.68 | $528.68 |
| ARIZONA (AZ) | $577.95 | $577.95 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $699.16 | $699.16 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $710.29 | $710.29 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $630.35 | $630.35 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $636.38 | $636.38 |
| NAPA (CA) | $670.25 | $670.25 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $701.08 | $701.08 |
| VALLEJO (CA) | $667.48 | $667.48 |
| BAKERSFIELD (CA) | $603.70 | $603.70 |
| CHICO (CA) | $599.05 | $599.05 |
| FRESNO (CA) | $599.05 | $599.05 |
| HANFORD-CORCORAN (CA) | $599.05 | $599.05 |
| MADERA (CA) | $599.05 | $599.05 |
| MERCED (CA) | $599.05 | $599.05 |
| MODESTO (CA) | $599.05 | $599.05 |
| REDDING (CA) | $599.05 | $599.05 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $617.21 | $617.21 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $622.37 | $622.37 |
| SALINAS (CA) | $619.95 | $619.95 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $718.13 | $718.13 |
| SANTA CRUZ-WATSONVILLE (CA) | $632.58 | $632.58 |
| SANTA ROSA-PETALUMA (CA) | $638.52 | $638.52 |
| STOCKTON (CA) | $599.05 | $599.05 |
| VISALIA (CA) | $599.05 | $599.05 |
| YUBA CITY (CA) | $599.05 | $599.05 |
| EL CENTRO (CA) | $599.33 | $599.33 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $630.12 | $630.12 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $610.78 | $610.78 |
| SANTA MARIA-SANTA BARBARA (CA) | $621.07 | $621.07 |
| REST OF CALIFORNIA (CA) | $599.05 | $599.05 |
| COLORADO (CO) | $602.82 | $602.82 |
| CONNECTICUT (CT) | $632.71 | $632.71 |
| DC + MD/VA SUBURBS (DC) | $663.81 | $663.81 |
| DELAWARE (DE) | $586.89 | $586.89 |
| FORT LAUDERDALE (FL) | $643.69 | $643.69 |
| MIAMI (FL) | $692.03 | $692.03 |
| REST OF FLORIDA (FL) | $610.92 | $610.92 |
| ATLANTA (GA) | $611.04 | $611.04 |
| REST OF GEORGIA (GA) | $575.90 | $575.90 |
| HAWAII, GUAM (HI) | $608.16 | $608.16 |
| IOWA (IA) | $537.30 | $537.30 |
| IDAHO (ID) | $542.96 | $542.96 |
| EAST ST. LOUIS (IL) | $629.94 | $629.94 |
| SUBURBAN CHICAGO (IL) | $647.34 | $647.34 |
| CHICAGO (IL) | $670.86 | $670.86 |
| REST OF ILLINOIS (IL) | $602.57 | $602.57 |
| INDIANA (IN) | $545.60 | $545.60 |
| KANSAS (KS) | $540.34 | $540.34 |
| KENTUCKY (KY) | $559.45 | $559.45 |
| NEW ORLEANS (LA) | $586.11 | $586.11 |
| REST OF LOUISIANA (LA) | $560.78 | $560.78 |
| METROPOLITAN BOSTON (MA) | $652.14 | $652.14 |
| REST OF MASSACHUSETTS (MA) | $601.78 | $601.78 |
| BALTIMORE/SURR. CNTYS (MD) | $632.08 | $632.08 |
| REST OF MARYLAND (MD) | $595.83 | $595.83 |
| SOUTHERN MAINE (ME) | $571.25 | $571.25 |
| REST OF MAINE (ME) | $551.37 | $551.37 |
| DETROIT (MI) | $623.71 | $623.71 |
| REST OF MICHIGAN (MI) | $578.08 | $578.08 |
| MINNESOTA (MN) | $562.71 | $562.71 |
| METROPOLITAN ST. LOUIS (MO) | $581.55 | $581.55 |
| METROPOLITAN KANSAS CITY (MO) | $576.59 | $576.59 |
| REST OF MISSOURI (MO) | $555.41 | $555.41 |
| MISSISSIPPI (MS) | $541.87 | $541.87 |
| MONTANA** (MT) | $594.42 | $594.42 |
| NORTH CAROLINA (NC) | $555.88 | $555.88 |
| NORTH DAKOTA** (ND) | $561.01 | $561.01 |
| NEBRASKA (NE) | $538.41 | $538.41 |
| NEW HAMPSHIRE (NH) | $598.67 | $598.67 |
| NORTHERN NJ (NJ) | $658.74 | $658.74 |
| REST OF NEW JERSEY (NJ) | $635.73 | $635.73 |
| NEW MEXICO (NM) | $583.23 | $583.23 |
| NEVADA** (NV) | $585.38 | $585.38 |
| MANHATTAN (NY) | $688.79 | $688.79 |
| NYC SUBURBS/LONG ISLAND (NY) | $711.46 | $711.46 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $644.25 | $644.25 |
| QUEENS (NY) | $686.12 | $686.12 |
| REST OF NEW YORK (NY) | $564.13 | $564.13 |
| OHIO (OH) | $571.25 | $571.25 |
| OKLAHOMA (OK) | $552.75 | $552.75 |
| PORTLAND (OR) | $614.62 | $614.62 |
| REST OF OREGON (OR) | $576.68 | $576.68 |
| METROPOLITAN PHILADELPHIA (PA) | $621.39 | $621.39 |
| REST OF PENNSYLVANIA (PA) | $569.05 | $569.05 |
| PUERTO RICO (PR) | $596.69 | $596.69 |
| RHODE ISLAND (RI) | $602.48 | $602.48 |
| SOUTH CAROLINA (SC) | $565.33 | $565.33 |
| SOUTH DAKOTA** (SD) | $557.05 | $557.05 |
| TENNESSEE (TN) | $543.57 | $543.57 |
| BRAZORIA (TX) | $581.78 | $581.78 |
| DALLAS (TX) | $587.82 | $587.82 |
| GALVESTON (TX) | $585.04 | $585.04 |
| HOUSTON (TX) | $615.97 | $615.97 |
| BEAUMONT (TX) | $565.97 | $565.97 |
| FORT WORTH (TX) | $585.82 | $585.82 |
| AUSTIN (TX) | $604.46 | $604.46 |
| REST OF TEXAS (TX) | $575.14 | $575.14 |
| UTAH (UT) | $572.41 | $572.41 |
| VIRGINIA (VA) | $573.30 | $573.30 |
| VIRGIN ISLANDS (VI) | $596.69 | $596.69 |
| VERMONT (VT) | $563.92 | $563.92 |
| SEATTLE (KING CNTY) (WA) | $659.41 | $659.41 |
| REST OF WASHINGTON (WA) | $598.96 | $598.96 |
| WISCONSIN (WI) | $544.01 | $544.01 |
| WEST VIRGINIA (WV) | $583.12 | $583.12 |
| WYOMING** (WY) | $579.86 | $579.86 |
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 PFS amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — that reflect the relative resources involved in furnishing a service. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to a given locality to account for regional cost differences, then the adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Practice-expense RVUs differ depending on whether the service is reported in a non-facility (e.g., office) or facility (e.g., hospital) setting, which is why the two amounts can differ. For this code, non-facility and facility PE RVUs are shown as equal, so the resulting national estimates are the same in both settings for 2026.
RVUs — work 7.94, practice expense 8.17 (non-facility) / 8.17 (facility), malpractice 1.69 — × the locality GPCIs × the 2026 conversion factor of $33.40.
Good to know
- This is an estimate only, based on national or locality-adjusted PFS inputs — actual payment can vary.
- Medicare typically pays 80% of the allowed amount after the Part B deductible is met; the beneficiary or secondary payer is responsible for the rest.
- Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
- Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.
Frequently asked
Why do I need the CPT descriptor if it's not shown here?
CPT code descriptors are copyrighted by the American Medical Association, so this page cannot reproduce them. You can look up the official descriptor in your CPT codebook or licensed coding software.
Why might the amount I was paid differ from the national figure shown?
The national amount uses standard GPCI values, while your actual payment is adjusted using the GPCIs for your specific Medicare locality, plus any applicable modifiers or adjustments.
Why are the non-facility and facility amounts the same for this code?
When the practice-expense RVUs for non-facility and facility settings are identical, as shown in the inputs for this code, the calculated allowed amounts come out the same in both settings.
Does this amount represent what Medicare will actually pay me?
No — it's an estimate of the allowed amount. Medicare generally pays 80% of this figure after the deductible, and the final payment can be affected by sequestration, secondary payers, and other adjustments.
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.
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