Medicare Reimbursement for CPT 24346

CPT 24346 is a procedure code valued under the Medicare Physician Fee Schedule (PFS). This page shows the estimated Medicare-allowed amount for this code nationally and by locality, with separate figures for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1030.42	$1030.42
ALASKA* (AK)	$1258.61	$1258.61
ALABAMA (AL)	$930.92	$930.92
ARKANSAS (AR)	$918.66	$918.66
ARIZONA (AZ)	$1001.90	$1001.90
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1192.89	$1192.89
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1211.11	$1211.11
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1082.67	$1082.67
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1093.87	$1093.87
NAPA (CA)	$1146.29	$1146.29
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1196.48	$1196.48
VALLEJO (CA)	$1141.12	$1141.12
BAKERSFIELD (CA)	$1039.80	$1039.80
CHICO (CA)	$1031.10	$1031.10
FRESNO (CA)	$1031.10	$1031.10
HANFORD-CORCORAN (CA)	$1031.10	$1031.10
MADERA (CA)	$1031.10	$1031.10
MERCED (CA)	$1031.10	$1031.10
MODESTO (CA)	$1031.10	$1031.10
REDDING (CA)	$1031.10	$1031.10
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1065.05	$1065.05
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1069.29	$1069.29
SALINAS (CA)	$1065.10	$1065.10
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1225.79	$1225.79
SANTA CRUZ-WATSONVILLE (CA)	$1084.20	$1084.20
SANTA ROSA-PETALUMA (CA)	$1094.24	$1094.24
STOCKTON (CA)	$1031.10	$1031.10
VISALIA (CA)	$1031.10	$1031.10
YUBA CITY (CA)	$1031.10	$1031.10
EL CENTRO (CA)	$1031.63	$1031.63
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1081.13	$1081.13
SAN LUIS OBISPO-PASO ROBLES (CA)	$1049.57	$1049.57
SANTA MARIA-SANTA BARBARA (CA)	$1066.62	$1066.62
REST OF CALIFORNIA (CA)	$1031.10	$1031.10
COLORADO (CO)	$1040.74	$1040.74
CONNECTICUT (CT)	$1095.56	$1095.56
DC + MD/VA SUBURBS (DC)	$1145.55	$1145.55
DELAWARE (DE)	$1017.08	$1017.08
FORT LAUDERDALE (FL)	$1121.28	$1121.28
MIAMI (FL)	$1209.41	$1209.41
REST OF FLORIDA (FL)	$1064.61	$1064.61
ATLANTA (GA)	$1059.99	$1059.99
REST OF GEORGIA (GA)	$1004.29	$1004.29
HAWAII, GUAM (HI)	$1044.83	$1044.83
IOWA (IA)	$930.26	$930.26
IDAHO (ID)	$940.43	$940.43
EAST ST. LOUIS (IL)	$1103.08	$1103.08
SUBURBAN CHICAGO (IL)	$1126.96	$1126.96
CHICAGO (IL)	$1172.72	$1172.72
REST OF ILLINOIS (IL)	$1052.47	$1052.47
INDIANA (IN)	$944.81	$944.81
KANSAS (KS)	$936.83	$936.83
KENTUCKY (KY)	$973.77	$973.77
NEW ORLEANS (LA)	$1019.43	$1019.43
REST OF LOUISIANA (LA)	$976.59	$976.59
METROPOLITAN BOSTON (MA)	$1122.45	$1122.45
REST OF MASSACHUSETTS (MA)	$1039.68	$1039.68
BALTIMORE/SURR. CNTYS (MD)	$1094.71	$1094.71
REST OF MARYLAND (MD)	$1031.87	$1031.87
SOUTHERN MAINE (ME)	$987.61	$987.61
REST OF MAINE (ME)	$956.16	$956.16
DETROIT (MI)	$1087.79	$1087.79
REST OF MICHIGAN (MI)	$1006.66	$1006.66
MINNESOTA (MN)	$968.57	$968.57
METROPOLITAN ST. LOUIS (MO)	$1010.01	$1010.01
METROPOLITAN KANSAS CITY (MO)	$1001.79	$1001.79
REST OF MISSOURI (MO)	$968.40	$968.40
MISSISSIPPI (MS)	$943.16	$943.16
MONTANA** (MT)	$1030.21	$1030.21
NORTH CAROLINA (NC)	$963.54	$963.54
NORTH DAKOTA** (ND)	$967.72	$967.72
NEBRASKA (NE)	$931.69	$931.69
NEW HAMPSHIRE (NH)	$1034.84	$1034.84
NORTHERN NJ (NJ)	$1137.53	$1137.53
REST OF NEW JERSEY (NJ)	$1099.99	$1099.99
NEW MEXICO (NM)	$1015.98	$1015.98
NEVADA** (NV)	$1013.22	$1013.22
MANHATTAN (NY)	$1193.55	$1193.55
NYC SUBURBS/LONG ISLAND (NY)	$1233.76	$1233.76
POUGHKPSIE/N NYC SUBURBS (NY)	$1115.68	$1115.68
QUEENS (NY)	$1186.95	$1186.95
REST OF NEW YORK (NY)	$977.59	$977.59
OHIO (OH)	$993.89	$993.89
OKLAHOMA (OK)	$960.92	$960.92
PORTLAND (OR)	$1059.00	$1059.00
REST OF OREGON (OR)	$997.35	$997.35
METROPOLITAN PHILADELPHIA (PA)	$1077.32	$1077.32
REST OF PENNSYLVANIA (PA)	$989.39	$989.39
PUERTO RICO (PR)	$1033.56	$1033.56
RHODE ISLAND (RI)	$1042.60	$1042.60
SOUTH CAROLINA (SC)	$981.94	$981.94
SOUTH DAKOTA** (SD)	$960.33	$960.33
TENNESSEE (TN)	$942.46	$942.46
BRAZORIA (TX)	$1007.29	$1007.29
DALLAS (TX)	$1018.17	$1018.17
GALVESTON (TX)	$1013.22	$1013.22
HOUSTON (TX)	$1071.06	$1071.06
BEAUMONT (TX)	$984.27	$984.27
FORT WORTH (TX)	$1015.25	$1015.25
AUSTIN (TX)	$1044.29	$1044.29
REST OF TEXAS (TX)	$998.27	$998.27
UTAH (UT)	$993.88	$993.88
VIRGINIA (VA)	$992.08	$992.08
VIRGIN ISLANDS (VI)	$1033.56	$1033.56
VERMONT (VT)	$973.98	$973.98
SEATTLE (KING CNTY) (WA)	$1133.37	$1133.37
REST OF WASHINGTON (WA)	$1034.40	$1034.40
WISCONSIN (WI)	$939.34	$939.34
WEST VIRGINIA (WV)	$1019.64	$1019.64
WYOMING** (WY)	$1002.98	$1002.98

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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: 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 PFS amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, reflecting local cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility settings can have different practice-expense RVUs, since facility settings assume some costs are borne by the facility rather than the billing provider, which can change the total payment.

RVUs — work 14.83, practice expense 12.86 (non-facility) / 12.86 (facility), malpractice 3.16 — × 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's deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary due to modifiers, place of service, sequestration, annual budget-neutrality adjustments, and other claim-specific factors.
Locality-specific GPCIs and conversion factors change annually and can affect the final amount.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the Medicare allowed amount for this code differ by locality?

Because GPCIs adjust the work, practice expense, and malpractice RVUs to reflect differences in local labor, rent, and liability insurance costs, resulting in different allowed amounts across localities.

Why are non-facility and facility amounts sometimes the same or different?

The practice-expense RVU can differ between settings because facility settings assume the facility absorbs certain overhead costs; when those RVUs are equal, the allowed amounts will also be equal.

Does this amount reflect what the patient will owe?

No. The figure shown is the Medicare-allowed amount before cost-sharing. Patients are generally responsible for 20% coinsurance after the deductible, unless a secondary payer covers it.

Can modifiers change this estimate?

Yes. Modifiers such as bilateral, multiple-procedure, or assistant-at-surgery indicators 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.