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CPT code 11954: Filler injection, more than 10 cc2026 Medicare rate & RVUs in King County, WA

Reports subcutaneous injection of filling material when the documented volume exceeds 10 cc to address a soft-tissue volume or contour defect.

CMS RVU26DEffective Oct 1, 2026One payment locality

In King County, WA, Medicare pays $197.27 for 11954 in the office and $102.60 when it’s performed in a hospital or facility.

$197.27Office (non-facility)
$102.60Hospital or facility
+13.8%vs the national office rate ($173.35)

Check a contract rate as a % of Medicare · 11954 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 11954 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 11954 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 11954 covers

A clinician injects filling material into subcutaneous tissue to add volume or improve a soft-tissue contour defect. Dermatologists and plastic surgeons may perform the service in an office or procedural setting when more than 10 cc of material is used. The code is distinguished from its lower-volume siblings by the amount injected, not by the number of sites treated.

Select the code from documentation of the indication, injection sites, material, and total volume. Medicare payment is restricted to specific circumstances, so the record must support the applicable coverage circumstances. The code has a 0-day global period, which includes same-day preoperative and postoperative care. When multiple procedures are performed in the same 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 King County, WA compares for 11954

Across 109 of 109 payment localities, the office rate for 11954 runs from $153.36 in Arkansas to $219.42 in San Benito County, CA. King County, WA pays $197.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

11954 in King County, WA vs other payment areas
  1. King County, WA · this page$197.27
  2. Rest of Washington · Washington$176.72−$20.55
  3. Los Angeles, CA · California$190.47−$6.80
  4. Washington, DC area · District of Columbia$195.99−$1.28
  5. Miami, FL · Florida$195.39−$1.88
  6. Chicago, IL · Illinois$189.42−$7.85
  7. Manhattan, NY · New York$200.50+$3.23

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

Every other payment area

11954 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$204.76$122.59
AlabamaAlabama$155.58$88.07
ArkansasArkansas$153.36$87.09
ArizonaArizona$168.52$93.76
Bakersfield, CACalifornia$179.67$95.11
Chico, CACalifornia$178.70$94.13
El Centro, CACalifornia$178.75$94.19
Fresno, CACalifornia$178.70$94.13

11954 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.

$153.36

$204.76

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

View every state and territory as a table
11954 office rate range by state
State / territoryOffice rate rangeLocalities
AK$204.761
AL$155.581
AR$153.361
AZ$168.521
CA$178.70–$219.4229
CO$178.011
CT$184.831
DC$195.991
DE$171.251
FL$174.76–$195.393
GA$164.63–$177.512
GU$182.341
HI$182.341
IA$157.671
ID$159.071
IL$171.10–$189.424
IN$159.931
KS$157.801
KY$161.091
LA$161.18–$168.952
MA$177.32–$194.232
MD$174.21–$195.993
ME$160.81–$168.122
MI$166.02–$177.822
MN$168.071
MO$159.03–$168.503
MS$156.191
MT$173.331
NC$162.331
ND$166.411
NE$158.261
NH$176.051
NJ$186.23–$194.182
NM$167.271
NV$171.501
NY$164.80–$206.415
OH$164.611
OK$159.881
OR$169.47–$182.592
PA$164.38–$180.852
PR$174.291
RI$176.581
SC$163.881
SD$165.591
TN$158.701
TX$163.38–$178.038
UT$166.071
VA$168.19–$195.992
VI$174.291
VT$166.561
WA$176.72–$197.272
WI$161.001
WV$165.091
WY$170.311

See 11954 in every payment locality

How the 11954 rate is calculated

Each of 11954’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 · 11954

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.80

1.80 RVUs× 1.000 GPCI

Practice expense3.04

3.04 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

5.1900

Conversion factor

$33.4009

Medicare rate

$173.35

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

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,387

Code
11954
Physician work
1.80
Practice expense
3.04
Malpractice
0.35

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 11954 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.80× 1.0501.8900
Practice expense3.04× 1.2273.7301
Malpractice0.35× 0.8170.2859
Total RVUs5.9060
Conversion factor× 33.4009

Office rate, King County, WA$197.27

Office: (1.8 × 1.05 + 3.04 × 1.227 + 0.35 × 0.817) × $33.4009 = $197.27

Facility: (1.8 × 1.05 + 0.73 × 1.227 + 0.35 × 0.817) × $33.4009 = $102.60

Open 11954 in the RVU calculator

Payment rules and modifiers for 11954

The CMS indicators that decide how 11954 is paid alongside other services.

CMS payment indicators · 11954

Filler injection, more than 10 cc

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

11954 without 51 · national office

$173.35

Filler injection, more than 10 cc

11954-51 · Second procedure: 50%

$86.68

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 11954

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

Codes related to 11954
CodeHow it relatesOffice range, King County, WA
Same family
11950Filler injection, 1 cc or lessSibling code for subcutaneous filling-material injection in the smallest volume tier.$101.29
11951Filler injection, 1.1–5.0 ccSibling code for subcutaneous filling-material injection in an intermediate volume tier.$134.12
11952Filler injection, 5.1 to 10 ccSibling code for subcutaneous filling-material injection up to 10 cc.$178.35

How 11954 has changed in King County, WA

11954 · Office / nonfacility

$197.27

Effective 2026-10-01

The base rate is $19.71 higher than on 2025-10-01, moving from $177.56 to $197.27 (11.1%).

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

    $177.56changed to$197.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.85 changed to 1.80
    • Practice expense RVU 2.68 changed to 3.04
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $180.28changed to$177.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.62 changed to 2.68

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $177.34changed to$180.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $180.05changed to$177.34

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.58 changed to 2.62
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $178.34changed to$180.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.49 changed to 2.58
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $177.88changed to$178.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.45 changed to 2.49
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $178.77changed to$177.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.37 changed to 2.45
    • Malpractice RVU 0.32 changed to 0.33
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $172.14changed to$178.77

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.25 changed to 2.37
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $171.80changed to$172.14

    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $173.26changed to$171.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.29 changed to 2.25

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $172.30changed to$173.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.33 changed to 2.29
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $168.92changed to$172.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.31 changed to 2.33
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $170.77changed to$168.92

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.34 changed to 2.31

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $169.92changed to$170.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $170.81changed to$169.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.30 changed to 2.34
    • Malpractice RVU 0.33 changed to 0.31
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $173.87changed to$170.81

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.54 changed to 2.30
    • Malpractice RVU 0.35 changed to 0.33
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $173.87

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$197.27$102.60RVU26D
2026-07-01$197.27$102.60RVU26C
2026-04-01$197.27$102.60RVU26B
2026-01-01$197.27$102.60RVU26A
2025-10-01$177.56$118.36RVU25D
2025-07-01$177.56$118.36RVU25C
2025-04-01$177.56$118.36RVU25B
2025-01-01$177.56$118.36RVU25A
2024-10-01$180.28$120.18RVU24D
2024-07-01$180.28$120.18RVU24C
2024-04-01$180.28$120.18RVU24B
2024-03-09$180.28$120.18RVU24AR
2024-01-01$177.34$118.22RVU24A
2023-10-01$180.05$121.15RVU23D
2023-07-01$180.05$121.15RVU23C
2023-04-01$180.05$121.15RVU23B
2023-01-01$180.05$121.15RVU23A
2022-10-01$178.34$121.73RVU22D
2022-07-01$178.34$121.73RVU22C
2022-04-01$178.34$121.73RVU22B
2022-01-01$178.34$121.73RVU22A
2021-10-01$177.88$122.89RVU21D
2021-07-01$177.88$122.89RVU21C
2021-04-01$177.88$122.89RVU21B
2021-01-01$177.88$122.89RVU21A
2020-10-01$178.77$125.99RVU20D
2020-07-01$178.77$125.99RVU20C
2020-04-01$178.77$125.99RVU20B
2020-01-01$178.77$125.99RVU20A
2019-10-01$172.14$122.58RVU19D
2019-07-01$172.14$122.58RVU19C
2019-04-01$171.80$122.24RVU19B
2019-01-01$171.80$122.24RVU19A
2018-10-01$173.26$123.76RVU18D
2018-07-01$173.26$123.76RVU18C
2018-04-01$173.26$123.76RVU18B
2018-01-01$173.26$123.76RVU18AR1
2017-10-01$172.30$123.56RVU17D
2017-07-01$172.30$123.56RVU17C
2017-04-01$172.30$123.56RVU17B
2017-01-01$172.30$123.56RVU17A
2016-10-01$168.92$120.12RVU16D
2016-07-01$168.92$120.12RVU16C
2016-04-01$168.92$120.12RVU16B
2016-01-01$168.92$120.12RVU16A
2015-10-01$170.77$121.38RVU15D
2015-07-01$170.77$121.38RVU15C
2015-04-01$169.92$120.78RVU15B
2015-01-01$169.92$120.78RVU15A
2014-10-01$170.81$123.03RVU14D
2014-07-01$170.81$123.03RVU14C
2014-04-01$170.81$123.03RVU14B
2014-01-01$170.81$123.03RVU14A
2013-10-01$173.87$122.49RVU13D
2013-07-01$173.87$122.49RVU13C
2013-04-01$173.87$122.49RVU13B
2013-01-01$173.87$122.49RVU13AR

Price 11954 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 11954 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

11954 billing questions

How does 11954 differ from 11952?

Choose 11954 when the documented filling-material volume exceeds 10 cc. Code 11952 is for the next lower volume tier, up to 10 cc.

Is the code selected by the number of injection sites?

No. The distinction among these filling-material injection codes is the volume used, rather than the number of sites.

What documentation supports reporting 11954?

Document the clinical indication, injection sites, material, and total volume injected. The record must also support the specific circumstances for which Medicare covers payment.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can modifier 50 be used, or can an assistant be paid?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.

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 11954PPRRVU2026_Oct_nonQPP.csv, line 1,387 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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