Medicare Reimbursement for CPT 24300
CPT 24300 is a procedure code used for physician billing under Medicare Part B. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code nationally and, where available, by locality, broken out by non-facility and facility settings.
Medicare allowed amount (2026)
| Locality | Non-facility | Facility |
|---|---|---|
| National (unadjusted) | $446.24 | $446.24 |
| ALASKA* (AK) | $519.44 | $519.44 |
| ALABAMA (AL) | $399.06 | $399.06 |
| ARKANSAS (AR) | $393.14 | $393.14 |
| ARIZONA (AZ) | $433.61 | $433.61 |
| SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA) | $562.74 | $562.74 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA) | $573.25 | $573.25 |
| OXNARD-THOUSAND OAKS-VENTURA (CA) | $492.99 | $492.99 |
| LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA) | $496.04 | $496.04 |
| NAPA (CA) | $534.02 | $534.02 |
| SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA) | $563.60 | $563.60 |
| VALLEJO (CA) | $532.78 | $532.78 |
| BAKERSFIELD (CA) | $466.58 | $466.58 |
| CHICO (CA) | $464.46 | $464.46 |
| FRESNO (CA) | $464.46 | $464.46 |
| HANFORD-CORCORAN (CA) | $464.46 | $464.46 |
| MADERA (CA) | $464.46 | $464.46 |
| MERCED (CA) | $464.46 | $464.46 |
| MODESTO (CA) | $464.46 | $464.46 |
| REDDING (CA) | $464.46 | $464.46 |
| RIVERSIDE-SAN BERNARDINO-ONTARIO (CA) | $472.64 | $472.64 |
| SACRAMENTO-ROSEVILLE-FOLSOM (CA) | $486.34 | $486.34 |
| SALINAS (CA) | $484.53 | $484.53 |
| SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA) | $576.78 | $576.78 |
| SANTA CRUZ-WATSONVILLE (CA) | $499.41 | $499.41 |
| SANTA ROSA-PETALUMA (CA) | $504.35 | $504.35 |
| STOCKTON (CA) | $464.46 | $464.46 |
| VISALIA (CA) | $464.46 | $464.46 |
| YUBA CITY (CA) | $464.46 | $464.46 |
| EL CENTRO (CA) | $464.59 | $464.59 |
| SAN DIEGO-CHULA VISTA-CARLSBAD (CA) | $495.25 | $495.25 |
| SAN LUIS OBISPO-PASO ROBLES (CA) | $476.90 | $476.90 |
| SANTA MARIA-SANTA BARBARA (CA) | $486.16 | $486.16 |
| REST OF CALIFORNIA (CA) | $464.46 | $464.46 |
| COLORADO (CO) | $460.77 | $460.77 |
| CONNECTICUT (CT) | $476.47 | $476.47 |
| DC + MD/VA SUBURBS (DC) | $507.70 | $507.70 |
| DELAWARE (DE) | $440.86 | $440.86 |
| FORT LAUDERDALE (FL) | $470.51 | $470.51 |
| MIAMI (FL) | $496.91 | $496.91 |
| REST OF FLORIDA (FL) | $446.28 | $446.28 |
| ATLANTA (GA) | $456.36 | $456.36 |
| REST OF GEORGIA (GA) | $419.87 | $419.87 |
| HAWAII, GUAM (HI) | $475.18 | $475.18 |
| IOWA (IA) | $406.34 | $406.34 |
| IDAHO (ID) | $409.72 | $409.72 |
| EAST ST. LOUIS (IL) | $448.84 | $448.84 |
| SUBURBAN CHICAGO (IL) | $474.56 | $474.56 |
| CHICAGO (IL) | $481.48 | $481.48 |
| REST OF ILLINOIS (IL) | $435.36 | $435.36 |
| INDIANA (IN) | $412.07 | $412.07 |
| KANSAS (KS) | $405.88 | $405.88 |
| KENTUCKY (KY) | $411.97 | $411.97 |
| NEW ORLEANS (LA) | $432.62 | $432.62 |
| REST OF LOUISIANA (LA) | $411.91 | $411.91 |
| METROPOLITAN BOSTON (MA) | $504.95 | $504.95 |
| REST OF MASSACHUSETTS (MA) | $458.52 | $458.52 |
| BALTIMORE/SURR. CNTYS (MD) | $475.47 | $475.47 |
| REST OF MARYLAND (MD) | $448.94 | $448.94 |
| SOUTHERN MAINE (ME) | $434.27 | $434.27 |
| REST OF MAINE (ME) | $413.50 | $413.50 |
| DETROIT (MI) | $453.53 | $453.53 |
| REST OF MICHIGAN (MI) | $424.35 | $424.35 |
| MINNESOTA (MN) | $436.75 | $436.75 |
| METROPOLITAN ST. LOUIS (MO) | $432.40 | $432.40 |
| METROPOLITAN KANSAS CITY (MO) | $428.01 | $428.01 |
| REST OF MISSOURI (MO) | $405.66 | $405.66 |
| MISSISSIPPI (MS) | $399.40 | $399.40 |
| MONTANA** (MT) | $446.19 | $446.19 |
| NORTH CAROLINA (NC) | $417.69 | $417.69 |
| NORTH DAKOTA** (ND) | $431.16 | $431.16 |
| NEBRASKA (NE) | $408.17 | $408.17 |
| NEW HAMPSHIRE (NH) | $454.92 | $454.92 |
| NORTHERN NJ (NJ) | $502.53 | $502.53 |
| REST OF NEW JERSEY (NJ) | $480.57 | $480.57 |
| NEW MEXICO (NM) | $427.33 | $427.33 |
| NEVADA** (NV) | $442.29 | $442.29 |
| MANHATTAN (NY) | $516.39 | $516.39 |
| NYC SUBURBS/LONG ISLAND (NY) | $531.08 | $531.08 |
| POUGHKPSIE/N NYC SUBURBS (NY) | $484.97 | $484.97 |
| QUEENS (NY) | $518.52 | $518.52 |
| REST OF NEW YORK (NY) | $424.23 | $424.23 |
| OHIO (OH) | $421.27 | $421.27 |
| OKLAHOMA (OK) | $409.63 | $409.63 |
| PORTLAND (OR) | $473.95 | $473.95 |
| REST OF OREGON (OR) | $437.54 | $437.54 |
| METROPOLITAN PHILADELPHIA (PA) | $465.36 | $465.36 |
| REST OF PENNSYLVANIA (PA) | $421.12 | $421.12 |
| PUERTO RICO (PR) | $449.04 | $449.04 |
| RHODE ISLAND (RI) | $455.54 | $455.54 |
| SOUTH CAROLINA (SC) | $420.45 | $420.45 |
| SOUTH DAKOTA** (SD) | $429.38 | $429.38 |
| TENNESSEE (TN) | $408.16 | $408.16 |
| BRAZORIA (TX) | $439.10 | $439.10 |
| DALLAS (TX) | $442.66 | $442.66 |
| GALVESTON (TX) | $440.90 | $440.90 |
| HOUSTON (TX) | $454.81 | $454.81 |
| BEAUMONT (TX) | $418.40 | $418.40 |
| FORT WORTH (TX) | $440.10 | $440.10 |
| AUSTIN (TX) | $460.38 | $460.38 |
| REST OF TEXAS (TX) | $429.02 | $429.02 |
| UTAH (UT) | $426.29 | $426.29 |
| VIRGINIA (VA) | $433.86 | $433.86 |
| VIRGIN ISLANDS (VI) | $449.04 | $449.04 |
| VERMONT (VT) | $430.80 | $430.80 |
| SEATTLE (KING CNTY) (WA) | $513.83 | $513.83 |
| REST OF WASHINGTON (WA) | $457.21 | $457.21 |
| WISCONSIN (WI) | $416.52 | $416.52 |
| WEST VIRGINIA (WV) | $419.28 | $419.28 |
| WYOMING** (WY) | $439.64 | $439.64 |
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: Policy. 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 — assigned to the code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, to reflect local cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor to produce the allowed amount. Practice-expense RVUs can differ between non-facility (e.g., office) and facility (e.g., hospital) settings, which is why the two amounts may vary; for this code they currently align.
RVUs — work 3.94, practice expense 8.66 (non-facility) / 8.66 (facility), malpractice 0.76 — × 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 the Part B deductible; the patient or secondary payer is generally responsible for the rest.
- Actual payment can vary by locality, applicable modifiers, claims-processing adjustments, and annual sequestration or budget-neutrality changes.
- Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.
Frequently asked
Why are the non-facility and facility amounts the same for this code?
The allowed amount depends on practice-expense RVUs, which can be identical for a code in both settings. When they match, the non-facility and facility amounts will be the same.
Does this amount reflect what Medicare will actually pay?
No. It's an estimated allowed amount based on standard RVUs and the national conversion factor. Actual payment depends on your locality's GPCIs, any modifiers used, and standard Medicare adjustments like sequestration.
How do I find the amount for my specific locality?
Use the locality-specific GPCI values applied to this code's RVUs, or check your MAC's published fee schedule for your area, since GPCIs vary by region.
Why might my remittance advice show a different amount?
Remittance amounts can differ due to modifiers, multiple-procedure reductions, sequestration, secondary payer coordination, or mid-year fee schedule updates not reflected 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.
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