CPT code 11951: Filler injection, 1.1–5.0 cc2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $112.58 for 11951 in the office and $57.47 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11951 nationwide

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

What 11951 covers

This service is injection of filling material into subcutaneous tissue to improve a soft-tissue contour defect. Examples of materials include collagen-based fillers. Dermatologists and plastic surgeons may perform the procedure in a clinic or hospital setting, depending on the patient and treatment circumstances. Medicare payment is restricted to specific circumstances, so the clinical reason for treatment matters.

Select this code when the documented quantity injected falls from 1.1 through 5.0 cc; document the material, treatment site, amount, and reason for correction. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented 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 South Dakota compares for 11951

Across 109 of 109 payment localities, the office rate for 11951 runs from $103.76 in Arkansas to $149.84 in San Benito County, CA. South Dakota pays $112.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11951 rates by state

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

See 11951 in every payment locality

How the 11951 rate is calculated

Each of 11951’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.

Payment rules and modifiers for 11951

The CMS indicators that decide how 11951 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 11951

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

How 11951 has changed in South Dakota

Price 11951 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates