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CPT code 11950: Filler injection, 1 cc or less2026 Medicare rate & RVUs in Puerto Rico

Reports injection of 1 cc or less of filling material into subcutaneous tissue to add volume or correct a contour depression.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Puerto Rico, Medicare pays $88.72 for 11950 in the office and $44.48 when it’s performed in a hospital or facility.

$88.72Office (non-facility)
$44.48Hospital or facility
+0.6%vs the national office rate ($88.18)

Check a contract rate as a % of Medicare · 11950 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11950 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 11950 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11950 covers

Code 11950 represents injection of a small amount of filling material into subcutaneous tissue to add volume or improve a contour depression. A dermatologist or plastic surgeon typically performs it in an office or outpatient procedure setting. The material is placed beneath the skin, rather than injected into a skin lesion for medication treatment. This volume tier covers 1 cc or less.

Medicare payment is restricted to specific circumstances, so the record should identify the medical indication, treated area, material, and volume. Choose the volume tier based on the amount injected, not the number of needle passes. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are paid at 50%. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 11950

Across 109 of 109 payment localities, the office rate for 11950 runs from $77.88 in Arkansas to $113.52 in San Benito County, CA. Puerto Rico pays $88.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

11950 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$88.72
  2. Los Angeles, CA · California$97.83+$9.11
  3. Washington, DC area · District of Columbia$100.15+$11.43
  4. Miami, FL · Florida$98.13+$9.41
  5. Chicago, IL · Illinois$95.14+$6.42
  6. Manhattan, NY · New York$101.90+$13.18
  7. Alaska · Alaska$103.25+$14.53

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

11950 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$79.03$40.75
ArkansasArkansas$77.88$40.30
ArizonaArizona$85.73$43.33
Bakersfield, CACalifornia$92.09$44.14
Chico, CACalifornia$91.67$43.72
El Centro, CACalifornia$91.70$43.74
Fresno, CACalifornia$91.67$43.72
Hanford, CACalifornia$91.67$43.72

11950 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$77.88

$103.25

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11950 office rate range by state
State / territoryOffice rate rangeLocalities
AK$103.251
AL$79.031
AR$77.881
AZ$85.731
CA$91.67–$113.5229
CO$90.981
CT$94.071
DC$100.151
DE$87.141
FL$88.24–$98.133
GA$83.12–$90.162
GU$93.711
HI$93.711
IA$80.421
ID$81.081
IL$86.15–$95.144
IN$81.531
KS$80.341
KY$81.561
LA$81.55–$85.572
MA$90.56–$99.572
MD$88.71–$100.153
ME$81.82–$85.832
MI$83.97–$89.662
MN$86.271
MO$80.35–$85.513
MS$79.121
MT$88.171
NC$82.631
ND$85.201
NE$80.771
NH$89.841
NJ$94.89–$99.172
NM$84.561
NV$87.401
NY$83.90–$104.775
OH$83.371
OK$81.091
OR$86.47–$93.532
PA$83.33–$91.932
PR$88.721
RI$90.001
SC$83.191
SD$84.851
TN$80.781
TX$82.80–$90.908
UT$84.321
VA$85.76–$100.152
VI$88.721
VT$85.151
WA$90.29–$101.292
WI$82.371
WV$83.031
WY$86.881

See 11950 in every payment locality

How the 11950 rate is calculated

Each of 11950’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 11950

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.82

0.82 RVUs× 1.000 GPCI

Practice expense1.67

1.67 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

2.6400

Conversion factor

$33.4009

Medicare rate

$88.18

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,384

Code
11950
Physician work
0.82
Practice expense
1.67
Malpractice
0.15

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11950 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.82× 1.0000.8200
Practice expense1.67× 1.0111.6884
Malpractice0.15× 0.9850.1477
Total RVUs2.6561
Conversion factor× 33.4009

Office rate, Puerto Rico$88.72

Office: (0.82 × 1 + 1.67 × 1.011 + 0.15 × 0.985) × $33.4009 = $88.72

Facility: (0.82 × 1 + 0.36 × 1.011 + 0.15 × 0.985) × $33.4009 = $44.48

Open 11950 in the RVU calculator

Payment rules and modifiers for 11950

The CMS indicators that decide how 11950 is paid alongside other services.

CMS payment indicators · 11950

Filler injection, 1 cc or less

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11950 without 51 · national office

$88.18

Filler injection, 1 cc or less

11950-51 · Second procedure: 50%

$44.09

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 11950

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 11950
CodeHow it relatesOffice range, Puerto Rico
Same family
11951Filler injection, 1.1–5.0 ccNext volume tier for injected filling material, covering 1.1 to 5.0 cc.$117.92
11952Filler injection, 5.1 to 10 ccHigher volume tier for injected filling material, covering 5.1 to 10.0 cc.$157.51
11954Filler injection, more than 10 ccVolume tier for injected filling material when the amount exceeds 10.0 cc.$174.29

How 11950 has changed in Puerto Rico

11950 · Office / nonfacility

$88.72

Effective 2026-10-01

The base rate is $7.93 higher than on 2025-10-01, moving from $80.79 to $88.72 (9.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $80.79changed to$88.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.84 changed to 0.82
    • Practice expense RVU 1.49 changed to 1.67
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $82.13changed to$80.79

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.46 changed to 1.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $80.79changed to$82.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $83.32changed to$80.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.44 changed to 1.46
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $83.02changed to$83.32

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $82.33changed to$83.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.39 changed to 1.44
    • Malpractice RVU 0.14 changed to 0.17
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $82.31changed to$82.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.36 changed to 1.39
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $81.88changed to$82.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.29 changed to 1.36
    • Malpractice RVU 0.13 changed to 0.15
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $70.49changed to$81.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.00 changed to 1.29
    • Malpractice RVU 0.11 changed to 0.13
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $72.22changed to$70.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.05 changed to 1.00

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $71.16changed to$72.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.23 changed to 1.05
    • Malpractice RVU 0.14 changed to 0.11
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $60.34changed to$71.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.17 changed to 1.23
    • Malpractice RVU 0.07 changed to 0.14
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $62.82changed to$60.34

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.23 changed to 1.17
    • Malpractice RVU 0.14 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $62.51changed to$62.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $60.81changed to$62.51

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.20 changed to 1.23
    • Malpractice RVU 0.10 changed to 0.14
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $57.34changed to$60.81

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.21 changed to 1.20
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $57.34

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$88.72$44.48RVU26D
2026-07-01$88.72$44.48RVU26C
2026-04-01$88.72$44.48RVU26B
2026-01-01$88.72$44.48RVU26A
2025-10-01$80.79$50.82RVU25D
2025-07-01$80.79$50.82RVU25C
2025-04-01$80.79$50.82RVU25B
2025-01-01$80.79$50.82RVU25A
2024-10-01$82.13$51.63RVU24D
2024-07-01$82.13$51.63RVU24C
2024-04-01$82.13$51.63RVU24B
2024-03-09$82.13$51.63RVU24AR
2024-01-01$80.79$50.79RVU24A
2023-10-01$83.32$52.92RVU23D
2023-07-01$83.02$52.86RVU23C
2023-04-01$83.02$52.86RVU23B
2023-01-01$83.02$52.86RVU23A
2022-10-01$82.33$52.68RVU22D
2022-07-01$82.33$52.68RVU22C
2022-04-01$82.33$52.68RVU22B
2022-01-01$82.33$52.68RVU22A
2021-10-01$82.31$53.46RVU21D
2021-07-01$82.31$53.46RVU21C
2021-04-01$82.31$53.46RVU21B
2021-01-01$82.31$53.46RVU21A
2020-10-01$81.88$54.59RVU20D
2020-07-01$81.88$54.59RVU20C
2020-04-01$81.88$54.59RVU20B
2020-01-01$81.88$54.59RVU20A
2019-10-01$70.49$48.71RVU19D
2019-07-01$70.49$48.71RVU19C
2019-04-01$70.49$48.71RVU19B
2019-01-01$70.49$48.71RVU19A
2018-10-01$72.22$49.02RVU18D
2018-07-01$72.22$49.02RVU18C
2018-04-01$72.22$49.02RVU18B
2018-01-01$72.22$49.02RVU18AR1
2017-10-01$71.16$50.27RVU17D
2017-07-01$71.16$50.27RVU17C
2017-04-01$71.16$50.27RVU17B
2017-01-01$71.16$50.27RVU17A
2016-10-01$60.34$44.69RVU16D
2016-07-01$60.34$44.69RVU16C
2016-04-01$60.34$44.69RVU16B
2016-01-01$60.34$44.69RVU16A
2015-10-01$62.82$45.59RVU15D
2015-07-01$62.82$45.59RVU15C
2015-04-01$62.51$45.36RVU15B
2015-01-01$62.51$45.36RVU15A
2014-10-01$60.81$45.44RVU14D
2014-07-01$60.81$45.44RVU14C
2014-04-01$60.81$45.44RVU14B
2014-01-01$60.81$45.44RVU14A
2013-10-01$57.34$41.42RVU13D
2013-07-01$57.34$41.42RVU13C
2013-04-01$57.34$41.42RVU13B
2013-01-01$57.34$41.42RVU13AR

Price 11950 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

11950 billing questions

How is 11950 distinguished from 11951?

11950 is the volume tier for 1 cc or less. Use 11951 when the injected volume is 1.1 to 5.0 cc.

Is the code selected per injection site or by volume?

Select the tier based on the volume of filling material injected, not the number of injection sites or needle passes. Document the amount used.

Can 11950 be reported with an injection for a skin lesion?

The services have different targets: 11950 concerns subcutaneous filling material, while 11900 concerns medication injected into skin lesions. Report the service actually performed.

What documentation supports Medicare payment?

Document the medical indication, treated area, filling material, and volume. Medicare payment is restricted to specific circumstances.

Does modifier 50 apply when filler is injected on both sides?

No. Modifier 50 is inappropriate for this descriptor; report the applicable service based on the volume injected.

Are same-day services and surgical assistance handled separately?

Same-day preoperative and postoperative care is included in the 0-day global period. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 11950PPRRVU2026_Oct_nonQPP.csv, line 1,384 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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