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CPT · Medicare fee · 2026

Medicare Reimbursement for CPT 24370

CPT 24370 is a physician procedure code (the official AMA descriptor is not reproduced here due to licensing). This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, nationally and adjustable by locality, broken out by non-facility and facility settings. All figures are estimates derived from the published RVUs and conversion factor for the stated year.

Medicare allowed amount (2026)

LocalityNon-facilityFacility
National (unadjusted)$1376.79$1376.79
ALASKA* (AK)$1720.73$1720.73
ALABAMA (AL)$1252.97$1252.97
ARKANSAS (AR)$1237.82$1237.82
ARIZONA (AZ)$1340.48$1340.48
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)$1548.03$1548.03
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)$1569.81$1569.81
OXNARD-THOUSAND OAKS-VENTURA (CA)$1423.19$1423.19
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)$1439.92$1439.92
NAPA (CA)$1494.32$1494.32
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)$1553.27$1553.27
VALLEJO (CA)$1486.78$1486.78
BAKERSFIELD (CA)$1374.92$1374.92
CHICO (CA)$1362.14$1362.14
FRESNO (CA)$1362.14$1362.14
HANFORD-CORCORAN (CA)$1362.14$1362.14
MADERA (CA)$1362.14$1362.14
MERCED (CA)$1362.14$1362.14
MODESTO (CA)$1362.14$1362.14
REDDING (CA)$1362.14$1362.14
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)$1411.72$1411.72
SACRAMENTO-ROSEVILLE-FOLSOM (CA)$1407.26$1407.26
SALINAS (CA)$1401.60$1401.60
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)$1591.21$1591.21
SANTA CRUZ-WATSONVILLE (CA)$1419.47$1419.47
SANTA ROSA-PETALUMA (CA)$1432.30$1432.30
STOCKTON (CA)$1362.14$1362.14
VISALIA (CA)$1362.14$1362.14
YUBA CITY (CA)$1362.14$1362.14
EL CENTRO (CA)$1362.91$1362.91
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)$1418.63$1418.63
SAN LUIS OBISPO-PASO ROBLES (CA)$1381.75$1381.75
SANTA MARIA-SANTA BARBARA (CA)$1402.50$1402.50
REST OF CALIFORNIA (CA)$1362.14$1362.14
COLORADO (CO)$1381.45$1381.45
CONNECTICUT (CT)$1459.56$1459.56
DC + MD/VA SUBURBS (DC)$1516.75$1516.75
DELAWARE (DE)$1359.60$1359.60
FORT LAUDERDALE (FL)$1507.13$1507.13
MIAMI (FL)$1630.91$1630.91
REST OF FLORIDA (FL)$1434.18$1434.18
ATLANTA (GA)$1417.33$1417.33
REST OF GEORGIA (GA)$1357.11$1357.11
HAWAII, GUAM (HI)$1374.42$1374.42
IOWA (IA)$1245.18$1245.18
IDAHO (ID)$1259.16$1259.16
EAST ST. LOUIS (IL)$1496.45$1496.45
SUBURBAN CHICAGO (IL)$1513.33$1513.33
CHICAGO (IL)$1583.83$1583.83
REST OF ILLINOIS (IL)$1423.81$1423.81
INDIANA (IN)$1264.36$1264.36
KANSAS (KS)$1256.64$1256.64
KENTUCKY (KY)$1313.09$1313.09
NEW ORLEANS (LA)$1370.83$1370.83
REST OF LOUISIANA (LA)$1317.89$1317.89
METROPOLITAN BOSTON (MA)$1479.74$1479.74
REST OF MASSACHUSETTS (MA)$1381.96$1381.96
BALTIMORE/SURR. CNTYS (MD)$1458.83$1458.83
REST OF MARYLAND (MD)$1377.30$1377.30
SOUTHERN MAINE (ME)$1315.86$1315.86
REST OF MAINE (ME)$1282.11$1282.11
DETROIT (MI)$1466.46$1466.46
REST OF MICHIGAN (MI)$1356.98$1356.98
MINNESOTA (MN)$1281.61$1281.61
METROPOLITAN ST. LOUIS (MO)$1355.21$1355.21
METROPOLITAN KANSAS CITY (MO)$1345.43$1345.43
REST OF MISSOURI (MO)$1309.86$1309.86
MISSISSIPPI (MS)$1273.22$1273.22
MONTANA** (MT)$1376.48$1376.48
NORTH CAROLINA (NC)$1290.65$1290.65
NORTH DAKOTA** (ND)$1285.32$1285.32
NEBRASKA (NE)$1245.90$1245.90
NEW HAMPSHIRE (NH)$1376.23$1376.23
NORTHERN NJ (NJ)$1508.52$1508.52
REST OF NEW JERSEY (NJ)$1464.34$1464.34
NEW MEXICO (NM)$1369.89$1369.89
NEVADA** (NV)$1351.53$1351.53
MANHATTAN (NY)$1589.96$1589.96
NYC SUBURBS/LONG ISLAND (NY)$1643.99$1643.99
POUGHKPSIE/N NYC SUBURBS (NY)$1486.94$1486.94
QUEENS (NY)$1576.90$1576.90
REST OF NEW YORK (NY)$1308.26$1308.26
OHIO (OH)$1338.35$1338.35
OKLAHOMA (OK)$1293.66$1293.66
PORTLAND (OR)$1400.24$1400.24
REST OF OREGON (OR)$1329.23$1329.23
METROPOLITAN PHILADELPHIA (PA)$1439.00$1439.00
REST OF PENNSYLVANIA (PA)$1330.93$1330.93
PUERTO RICO (PR)$1379.49$1379.49
RHODE ISLAND (RI)$1389.77$1389.77
SOUTH CAROLINA (SC)$1319.04$1319.04
SOUTH DAKOTA** (SD)$1274.54$1274.54
TENNESSEE (TN)$1264.00$1264.00
BRAZORIA (TX)$1344.94$1344.94
DALLAS (TX)$1360.00$1360.00
GALVESTON (TX)$1353.24$1353.24
HOUSTON (TX)$1437.62$1437.62
BEAUMONT (TX)$1324.82$1324.82
FORT WORTH (TX)$1357.44$1357.44
AUSTIN (TX)$1387.21$1387.21
REST OF TEXAS (TX)$1338.60$1338.60
UTAH (UT)$1333.72$1333.72
VIRGINIA (VA)$1323.76$1323.76
VIRGIN ISLANDS (VI)$1379.49$1379.49
VERMONT (VT)$1296.16$1296.16
SEATTLE (KING CNTY) (WA)$1490.45$1490.45
REST OF WASHINGTON (WA)$1374.12$1374.12
WISCONSIN (WI)$1251.08$1251.08
WEST VIRGINIA (WV)$1383.42$1383.42
WYOMING** (WY)$1336.75$1336.75

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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's PFS amount is built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense (PE), and malpractice (MP). Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific Medicare locality where the service is performed, then the adjusted RVUs are summed and multiplied by the annual national conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings often have different PE RVUs because the facility typically absorbs certain overhead costs; for this code, the PE RVU is the same in both settings, so the non-facility and facility estimates are equal. Locality-specific GPCIs mean the final allowed amount can vary from the national figure shown here.

RVUs — work 22.96, practice expense 13.65 (non-facility) / 13.65 (facility), malpractice 4.61 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

  • This is an estimate only, based on national averages and the inputs shown; it is not a guarantee of payment.
  • Medicare typically pays 80% of the approved amount after the patient meets the annual Part B deductible; the beneficiary or secondary payer is responsible for the remainder.
  • Modifiers, place-of-service codes, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can all change the actual paid amount.
  • Locality-specific GPCIs may produce a different amount than the national figure shown here.
  • Always confirm the current, locality-specific allowed amount with your Medicare Administrative Contractor (MAC) before billing or appealing a claim.

Frequently asked

Why does this page not show the CPT code description?

CPT code descriptors are copyrighted by the American Medical Association (AMA) and cannot be reproduced without a license. We reference the code generically instead.

Why are the non-facility and facility amounts the same for this code?

The PFS amount depends partly on the practice-expense RVU, which can differ between non-facility and facility settings. For this code, the practice-expense RVU is identical in both settings, so the calculated estimates come out equal.

Will my locality's payment match the national amount shown here?

Not necessarily. The national amount uses a GPCI value of 1.0 for all components as a reference point; your actual locality's GPCIs will raise or lower the final adjusted amount.

Does this amount reflect what Medicare will actually pay?

No. It's an estimate of the full PFS allowed amount. Medicare generally pays 80% of this after the deductible, and factors like modifiers or sequestration can further change the actual payment.

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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