CPT code 46250: Hemorrhoidectomy, external, two or more groups2026 Medicare rate & RVUs in Montana
Reports excisional surgery for external hemorrhoids involving two or more groups, rather than a single group or internal-and-external disease.
In Montana, Medicare pays $536.70 for 46250 in the office and $318.59 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 46250 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 46250 covers
This code describes operative excision of external hemorrhoids in two or more groups. It is typically performed by a colorectal or general surgeon for symptomatic external hemorrhoidal disease requiring removal, often in a surgical facility. The operative report should identify the external disease treated and document excision involving multiple groups; a procedure limited to anal tags or to hemorrhoid ligation is a different service.
Report the code once for the qualifying excision, not once per group. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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 Montana compares for 46250
Across 109 of 109 payment localities, the office rate for 46250 runs from $470.92 in Arkansas to $702.67 in San Benito County, CA. Montana pays $536.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$536.70
- Los Angeles, CA · California$600.78+$64.08
- Washington, DC area · District of Columbia$613.32+$76.62
- Miami, FL · Florida$594.84+$58.14
- Chicago, IL · Illinois$575.91+$39.21
- Manhattan, NY · New York$622.05+$85.35
- Alaska · Alaska$617.37+$80.67
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $478.27 | $287.43 |
| ArkansasArkansas | $470.92 | $283.56 |
| ArizonaArizona | $521.23 | $309.88 |
| Bakersfield, CACalifornia | $563.97 | $324.92 |
| Chico, CACalifornia | $561.64 | $322.60 |
| El Centro, CACalifornia | $561.79 | $322.74 |
| Fresno, CACalifornia | $561.64 | $322.60 |
| Hanford, CACalifornia | $561.64 | $322.60 |
| Madera, CACalifornia | $561.64 | $322.60 |
| Merced, CACalifornia | $561.64 | $322.60 |
| Modesto, CACalifornia | $561.64 | $322.60 |
| Napa, CACalifornia | $649.45 | $361.99 |
| Oxnard, CACalifornia | $597.46 | $339.66 |
| Redding, CACalifornia | $561.64 | $322.60 |
| Rest of CaliforniaCalifornia | $561.64 | $322.60 |
| Riverside, CACalifornia | $570.68 | $331.63 |
| Sacramento, CACalifornia | $589.09 | $335.43 |
| Salinas, CACalifornia | $586.92 | $334.13 |
| San Diego, CACalifornia | $600.65 | $339.80 |
| Marin County, CACalifornia | $686.58 | $379.05 |
| San Francisco, CACalifornia | $685.63 | $378.09 |
| San Benito County, CACalifornia | $702.67 | $388.16 |
| Santa Clara County, CACalifornia | $698.77 | $384.26 |
| San Luis Obispo, CACalifornia | $577.57 | $329.15 |
| Santa Cruz, CACalifornia | $606.28 | $341.28 |
| Santa Maria, CACalifornia | $589.10 | $334.78 |
| Santa Rosa, CACalifornia | $612.34 | $344.50 |
| Stockton, CACalifornia | $561.64 | $322.60 |
| Vallejo, CACalifornia | $648.08 | $360.61 |
| Visalia, CACalifornia | $561.64 | $322.60 |
| Yuba City, CACalifornia | $561.64 | $322.60 |
| ColoradoColorado | $555.97 | $323.91 |
| ConnecticutConnecticut | $573.93 | $339.03 |
| DelawareDelaware | $530.17 | $314.67 |
| Fort Lauderdale, FLFlorida | $564.24 | $343.29 |
| Rest of FloridaFlorida | $534.57 | $326.06 |
| Atlanta, GAGeorgia | $548.73 | $327.14 |
| Rest of GeorgiaGeorgia | $502.13 | $307.58 |
| Hawaii, Guam, HIHawaii | $575.69 | $327.70 |
| IowaIowa | $488.35 | $288.78 |
| IdahoIdaho | $492.33 | $291.67 |
| East St. Louis, ILIllinois | $535.57 | $334.91 |
| Rest of IllinoisIllinois | $520.32 | $321.19 |
| Suburban Chicago, ILIllinois | $569.38 | $345.38 |
| IndianaIndiana | $495.29 | $293.10 |
| KansasKansas | $487.28 | $290.11 |
| KentuckyKentucky | $493.25 | $299.35 |
| New Orleans, LALouisiana | $518.71 | $313.47 |
| Rest of LouisianaLouisiana | $492.98 | $299.95 |
| Metropolitan Boston, MAMassachusetts | $611.20 | $350.78 |
| Rest of MassachusettsMassachusetts | $552.90 | $323.23 |
| Baltimore area, MDMaryland | $572.65 | $338.63 |
| Rest of MarylandMaryland | $540.28 | $319.55 |
| Rest of MaineMaine | $496.51 | $295.85 |
| Southern Maine, MEMaine | $523.07 | $306.92 |
| Detroit, MIMichigan | $543.03 | $332.56 |
| Rest of MichiganMichigan | $508.15 | $309.01 |
| MinnesotaMinnesota | $527.74 | $303.31 |
| Metropolitan Kansas City, MOMissouri | $513.51 | $308.71 |
| Metropolitan St. Louis, MOMissouri | $519.03 | $311.39 |
| Rest of MissouriMissouri | $484.91 | $296.90 |
| MississippiMississippi | $477.94 | $290.15 |
| North CarolinaNorth Carolina | $501.81 | $298.31 |
| North DakotaNorth Dakota | $520.09 | $301.98 |
| NebraskaNebraska | $490.78 | $289.47 |
| New HampshireNew Hampshire | $548.43 | $321.38 |
| Northern New JerseyNew Jersey | $606.64 | $353.63 |
| Rest of New JerseyNew Jersey | $579.08 | $340.91 |
| New MexicoNew Mexico | $511.65 | $311.64 |
| NevadaNevada | $532.44 | $314.11 |
| NYC suburbs and Long Island, NYNew York | $639.66 | $380.33 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $584.06 | $345.23 |
| Queens, NYNew York | $625.42 | $367.62 |
| Rest of New YorkNew York | $509.90 | $302.70 |
| OhioOhio | $504.75 | $305.62 |
| OklahomaOklahoma | $490.86 | $296.09 |
| Portland, OROregon | $572.90 | $330.58 |
| Rest of OregonOregon | $526.94 | $309.70 |
| Metropolitan Philadelphia, PAPennsylvania | $559.84 | $332.79 |
| Rest of PennsylvaniaPennsylvania | $504.84 | $304.61 |
| Puerto RicoPuerto Rico | $540.41 | $319.90 |
| Rhode IslandRhode Island | $548.57 | $323.27 |
| South CarolinaSouth Carolina | $504.39 | $302.86 |
| South DakotaSouth Dakota | $518.12 | $300.01 |
| TennesseeTennessee | $490.05 | $291.79 |
| Austin, TXTexas | $555.31 | $324.56 |
| Beaumont, TXTexas | $501.42 | $302.94 |
| Brazoria, TXTexas | $528.35 | $312.21 |
| Dallas, TXTexas | $532.53 | $315.30 |
| Fort Worth, TXTexas | $529.19 | $314.14 |
| Galveston, TXTexas | $530.44 | $313.86 |
| Houston, TXTexas | $545.82 | $329.23 |
| Rest of TexasTexas | $515.14 | $308.16 |
| UtahUtah | $511.67 | $306.64 |
| VirginiaVirginia | $522.21 | $307.81 |
| Virgin Islands, VIUnited States Virgin Islands | $540.41 | $319.90 |
| VermontVermont | $519.19 | $303.26 |
| Rest of WashingtonWashington | $551.48 | $321.81 |
| King County, WAWashington | $622.62 | $355.00 |
| WisconsinWisconsin | $501.78 | $292.83 |
| West VirginiaWest Virginia | $500.32 | $310.78 |
| WyomingWyoming | $529.46 | $311.35 |
46250 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$470.92
$632.16
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $617.37 | 1 |
| AL | $478.27 | 1 |
| AR | $470.92 | 1 |
| AZ | $521.23 | 1 |
| CA | $561.64–$702.67 | 29 |
| CO | $555.97 | 1 |
| CT | $573.93 | 1 |
| DC | $613.32 | 1 |
| DE | $530.17 | 1 |
| FL | $534.57–$594.84 | 3 |
| GA | $502.13–$548.73 | 2 |
| GU | $575.69 | 1 |
| HI | $575.69 | 1 |
| IA | $488.35 | 1 |
| ID | $492.33 | 1 |
| IL | $520.32–$575.91 | 4 |
| IN | $495.29 | 1 |
| KS | $487.28 | 1 |
| KY | $493.25 | 1 |
| LA | $492.98–$518.71 | 2 |
| MA | $552.90–$611.20 | 2 |
| MD | $540.28–$613.32 | 3 |
| ME | $496.51–$523.07 | 2 |
| MI | $508.15–$543.03 | 2 |
| MN | $527.74 | 1 |
| MO | $484.91–$519.03 | 3 |
| MS | $477.94 | 1 |
| MT | $536.70 | 1 |
| NC | $501.81 | 1 |
| ND | $520.09 | 1 |
| NE | $490.78 | 1 |
| NH | $548.43 | 1 |
| NJ | $579.08–$606.64 | 2 |
| NM | $511.65 | 1 |
| NV | $532.44 | 1 |
| NY | $509.90–$639.66 | 5 |
| OH | $504.75 | 1 |
| OK | $490.86 | 1 |
| OR | $526.94–$572.90 | 2 |
| PA | $504.84–$559.84 | 2 |
| PR | $540.41 | 1 |
| RI | $548.57 | 1 |
| SC | $504.39 | 1 |
| SD | $518.12 | 1 |
| TN | $490.05 | 1 |
| TX | $501.42–$555.31 | 8 |
| UT | $511.67 | 1 |
| VA | $522.21–$613.32 | 2 |
| VI | $540.41 | 1 |
| VT | $519.19 | 1 |
| WA | $551.48–$622.62 | 2 |
| WI | $501.78 | 1 |
| WV | $500.32 | 1 |
| WY | $529.46 | 1 |
How the 46250 rate is calculated
Each of 46250’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 · 46250
RVUs × geographic indexes × conversion factor
Work4.14
4.14 RVUs× 1.000 GPCI
Practice expense11.09
11.09 RVUs× 1.000 GPCI
Malpractice0.84
0.84 RVUs× 1.000 GPCI
Adjusted RVUs
16.0700
Conversion factor
$33.4009
Medicare rate
$536.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,583
- Code
- 46250
- Physician work
- 4.14
- Practice expense
- 11.09
- Malpractice
- 0.84
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 11.09 | × 1.000 | 11.0900 |
| Malpractice | 0.84 | × 0.998 | 0.8383 |
| Total RVUs | 16.0683 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$536.70
Office: (4.14 × 1 + 11.09 × 1 + 0.84 × 0.998) × $33.4009 = $536.70
Facility: (4.14 × 1 + 4.56 × 1 + 0.84 × 0.998) × $33.4009 = $318.59
Payment rules and modifiers for 46250
46250 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 46250
Hemorrhoidectomy, external, two or more groups
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 46250
Hemorrhoidectomy, external, two or more groups
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
46250 without 51 · national office
$536.75
Hemorrhoidectomy, external, two or more groups
46250-51 · Second procedure: 50%
$268.38
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%).
How 46250 has changed in Montana
46250 · Office / nonfacility
$536.70
Effective 2026-10-01
The base rate is $68.26 higher than on 2025-10-01, moving from $468.44 to $536.70 (14.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$468.44changed to$536.70
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.25 changed to 4.14
- Practice expense RVU 9.43 changed to 11.09
- Malpractice RVU 0.82 changed to 0.84
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$479.07changed to$468.44
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.34 changed to 9.43
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$471.25changed to$479.07
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$487.73changed to$471.25
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.37 changed to 9.34
- Malpractice RVU 0.79 changed to 0.82
January 1, 2023
RVU23A
$501.18changed to$487.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.48 changed to 9.37
- Malpractice RVU 0.77 changed to 0.79
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$504.65changed to$501.18
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.75 changed to 0.77
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$500.21changed to$504.65
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 8.58 changed to 9.48
- Malpractice RVU 0.79 changed to 0.75
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$503.01changed to$500.21
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 8.37 changed to 8.58
- Malpractice RVU 0.82 changed to 0.79
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$499.90changed to$503.01
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 8.25 changed to 8.37
- Malpractice RVU 0.85 changed to 0.82
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$488.25changed to$499.90
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 8.14 changed to 8.25
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$482.24changed to$488.25
- Conversion factor 35.8043 changed to 35.8887
- Malpractice RVU 0.88 changed to 0.85
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$483.74changed to$482.24
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 8.17 changed to 8.14
- Malpractice RVU 0.85 changed to 0.88
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$481.33changed to$483.74
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$471.38changed to$481.33
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 8.00 changed to 8.17
- Malpractice RVU 0.78 changed to 0.85
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$481.24changed to$471.38
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 8.99 changed to 8.00
- Malpractice RVU 0.82 changed to 0.78
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $481.24
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $536.70 | $318.59 | RVU26D |
| 2026-07-01 | $536.70 | $318.59 | RVU26C |
| 2026-04-01 | $536.70 | $318.59 | RVU26B |
| 2026-01-01 | $536.70 | $318.59 | RVU26A |
| 2025-10-01 | $468.44 | $315.12 | RVU25D |
| 2025-07-01 | $468.44 | $315.12 | RVU25C |
| 2025-04-01 | $468.44 | $315.12 | RVU25B |
| 2025-01-01 | $468.44 | $315.12 | RVU25A |
| 2024-10-01 | $479.07 | $319.96 | RVU24D |
| 2024-07-01 | $479.07 | $319.96 | RVU24C |
| 2024-04-01 | $479.07 | $319.96 | RVU24B |
| 2024-03-09 | $479.07 | $319.96 | RVU24AR |
| 2024-01-01 | $471.25 | $314.74 | RVU24A |
| 2023-10-01 | $487.73 | $324.05 | RVU23D |
| 2023-07-01 | $487.73 | $324.05 | RVU23C |
| 2023-04-01 | $487.73 | $324.05 | RVU23B |
| 2023-01-01 | $487.73 | $324.05 | RVU23A |
| 2022-10-01 | $501.18 | $329.53 | RVU22D |
| 2022-07-01 | $501.18 | $329.53 | RVU22C |
| 2022-04-01 | $501.18 | $329.53 | RVU22B |
| 2022-01-01 | $501.18 | $329.53 | RVU22A |
| 2021-10-01 | $504.65 | $329.14 | RVU21D |
| 2021-07-01 | $504.65 | $329.14 | RVU21C |
| 2021-04-01 | $504.65 | $329.14 | RVU21B |
| 2021-01-01 | $504.65 | $329.14 | RVU21A |
| 2020-10-01 | $500.21 | $340.33 | RVU20D |
| 2020-07-01 | $500.21 | $340.33 | RVU20C |
| 2020-04-01 | $500.21 | $340.33 | RVU20B |
| 2020-01-01 | $500.21 | $340.33 | RVU20A |
| 2019-10-01 | $503.01 | $347.68 | RVU19D |
| 2019-07-01 | $503.01 | $347.68 | RVU19C |
| 2019-04-01 | $503.01 | $347.68 | RVU19B |
| 2019-01-01 | $503.01 | $347.68 | RVU19A |
| 2018-10-01 | $499.90 | $347.26 | RVU18D |
| 2018-07-01 | $499.90 | $347.26 | RVU18C |
| 2018-04-01 | $499.90 | $347.26 | RVU18B |
| 2018-01-01 | $499.90 | $347.26 | RVU18AR1 |
| 2017-10-01 | $488.25 | $338.96 | RVU17D |
| 2017-07-01 | $488.25 | $338.96 | RVU17C |
| 2017-04-01 | $488.25 | $338.96 | RVU17B |
| 2017-01-01 | $488.25 | $338.96 | RVU17A |
| 2016-10-01 | $482.24 | $332.94 | RVU16D |
| 2016-07-01 | $482.24 | $332.94 | RVU16C |
| 2016-04-01 | $482.24 | $332.94 | RVU16B |
| 2016-01-01 | $482.24 | $332.94 | RVU16A |
| 2015-10-01 | $483.74 | $332.46 | RVU15D |
| 2015-07-01 | $483.74 | $332.46 | RVU15C |
| 2015-04-01 | $481.33 | $330.81 | RVU15B |
| 2015-01-01 | $481.33 | $330.81 | RVU15A |
| 2014-10-01 | $471.38 | $324.87 | RVU14D |
| 2014-07-01 | $471.38 | $324.87 | RVU14C |
| 2014-04-01 | $471.38 | $324.87 | RVU14B |
| 2014-01-01 | $471.38 | $324.87 | RVU14A |
| 2013-10-01 | $481.24 | $323.71 | RVU13D |
| 2013-07-01 | $481.24 | $323.71 | RVU13C |
| 2013-04-01 | $481.24 | $323.71 | RVU13B |
| 2013-01-01 | $481.24 | $323.71 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
46250 billing questions
When is this code appropriate instead of 46255?
Use this code for excision of external hemorrhoids involving two or more groups. Code 46255 describes combined internal and external hemorrhoidectomy involving one group.
How does this differ from 46260?
Both describe hemorrhoidectomy involving two or more groups, but 46260 includes internal and external disease. This code is for external hemorrhoids.
Should the code be reported once for each group removed?
No. Report one unit for the qualifying excisional procedure; document that two or more external groups were treated.
Can modifier 50 be used when disease is on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because its descriptor or anatomy makes modifier 50 unsuitable.
Are postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. 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
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