CPT code 64418: Nerve injection, suprascapular nerve2026 Medicare rate & RVUs in West Virginia
Report this service for an anesthetic and/or steroid injection targeting the suprascapular nerve to evaluate or relieve shoulder pain.
In West Virginia, Medicare pays $84.82 for 64418 in the office and $48.54 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64418 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 64418 covers
The clinician places an injection at the suprascapular nerve, which supplies sensation to parts of the shoulder. Pain medicine physicians, anesthesiologists, physiatrists, and other clinicians may use the block diagnostically or therapeutically for shoulder pain, including pain associated with rotator cuff disease or glenohumeral arthritis. The injected medication may be anesthetic, steroid, or both; the service is defined by the nerve targeted, not simply by an injection into the shoulder joint.
Report 64418 when documentation identifies the suprascapular nerve as the injection target and supports the clinical indication, side, approach, and medication administered. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; 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 West Virginia compares for 64418
Across 109 of 109 payment localities, the office rate for 64418 runs from $80.96 in Arkansas to $114.37 in San Benito County, CA. West Virginia pays $84.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$84.82
- Los Angeles, CA · California$99.31+$14.49
- Washington, DC area · District of Columbia$101.17+$16.35
- Miami, FL · Florida$97.53+$12.71
- Chicago, IL · Illinois$95.11+$10.29
- Manhattan, NY · New York$102.46+$17.64
- Alaska · Alaska$109.35+$24.53
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $81.95 | $45.42 |
| ArkansasArkansas | $80.96 | $45.09 |
| ArizonaArizona | $87.76 | $47.30 |
| Bakersfield, CACalifornia | $93.93 | $48.17 |
| Chico, CACalifornia | $93.59 | $47.83 |
| El Centro, CACalifornia | $93.61 | $47.85 |
| Fresno, CACalifornia | $93.59 | $47.83 |
| Hanford, CACalifornia | $93.59 | $47.83 |
| Madera, CACalifornia | $93.59 | $47.83 |
| Merced, CACalifornia | $93.59 | $47.83 |
| Modesto, CACalifornia | $93.59 | $47.83 |
| Napa, CACalifornia | $106.33 | $51.30 |
| Oxnard, CACalifornia | $98.64 | $49.29 |
| Redding, CACalifornia | $93.59 | $47.83 |
| Rest of CaliforniaCalifornia | $93.59 | $47.83 |
| Riverside, CACalifornia | $94.79 | $49.03 |
| Sacramento, CACalifornia | $97.65 | $49.09 |
| Salinas, CACalifornia | $97.27 | $48.88 |
| San Diego, CACalifornia | $99.12 | $49.19 |
| Marin County, CACalifornia | $111.93 | $53.07 |
| San Francisco, CACalifornia | $111.81 | $52.94 |
| San Benito County, CACalifornia | $114.37 | $54.16 |
| Santa Clara County, CACalifornia | $113.86 | $53.65 |
| San Luis Obispo, CACalifornia | $95.76 | $48.21 |
| Santa Cruz, CACalifornia | $99.74 | $49.01 |
| Santa Maria, CACalifornia | $97.52 | $48.83 |
| Santa Rosa, CACalifornia | $100.72 | $49.44 |
| Stockton, CACalifornia | $93.59 | $47.83 |
| Vallejo, CACalifornia | $106.15 | $51.12 |
| Visalia, CACalifornia | $93.59 | $47.83 |
| Yuba City, CACalifornia | $93.59 | $47.83 |
| ColoradoColorado | $92.70 | $48.28 |
| ConnecticutConnecticut | $95.22 | $50.25 |
| DelawareDelaware | $89.05 | $47.80 |
| Fort Lauderdale, FLFlorida | $93.47 | $51.18 |
| Rest of FloridaFlorida | $89.48 | $49.56 |
| Atlanta, GAGeorgia | $91.50 | $49.08 |
| Rest of GeorgiaGeorgia | $85.11 | $47.86 |
| Hawaii, Guam, HIHawaii | $95.21 | $47.74 |
| IowaIowa | $83.35 | $45.14 |
| IdahoIdaho | $83.88 | $45.47 |
| East St. Louis, ILIllinois | $89.54 | $51.13 |
| Rest of IllinoisIllinois | $87.53 | $49.41 |
| Suburban Chicago, ILIllinois | $94.30 | $51.42 |
| IndianaIndiana | $84.28 | $45.57 |
| KansasKansas | $83.18 | $45.44 |
| KentuckyKentucky | $83.94 | $46.82 |
| New Orleans, LALouisiana | $87.37 | $48.08 |
| Rest of LouisianaLouisiana | $83.89 | $46.94 |
| Metropolitan Boston, MAMassachusetts | $100.69 | $50.84 |
| Rest of MassachusettsMassachusetts | $92.35 | $48.38 |
| Baltimore area, MDMaryland | $94.97 | $50.17 |
| Rest of MarylandMaryland | $90.51 | $48.26 |
| Rest of MaineMaine | $84.42 | $46.01 |
| Southern Maine, MEMaine | $88.04 | $46.66 |
| Detroit, MIMichigan | $90.60 | $50.31 |
| Rest of MichiganMichigan | $85.93 | $47.82 |
| MinnesotaMinnesota | $88.72 | $45.76 |
| Metropolitan Kansas City, MOMissouri | $86.69 | $47.48 |
| Metropolitan St. Louis, MOMissouri | $87.43 | $47.69 |
| Rest of MissouriMissouri | $82.79 | $46.80 |
| MississippiMississippi | $81.88 | $45.93 |
| MontanaMontana | $89.84 | $48.09 |
| North CarolinaNorth Carolina | $85.14 | $46.19 |
| North DakotaNorth Dakota | $87.67 | $45.91 |
| NebraskaNebraska | $83.68 | $45.14 |
| New HampshireNew Hampshire | $91.46 | $47.99 |
| Northern New JerseyNew Jersey | $100.42 | $51.99 |
| Rest of New JerseyNew Jersey | $96.27 | $50.68 |
| New MexicoNew Mexico | $86.40 | $48.11 |
| NevadaNevada | $89.29 | $47.49 |
| NYC suburbs and Long Island, NYNew York | $104.82 | $55.17 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $97.02 | $51.30 |
| Queens, NYNew York | $102.94 | $53.59 |
| Rest of New YorkNew York | $86.24 | $46.57 |
| OhioOhio | $85.49 | $47.37 |
| OklahomaOklahoma | $83.63 | $46.35 |
| Portland, OROregon | $95.08 | $48.69 |
| Rest of OregonOregon | $88.56 | $46.97 |
| Metropolitan Philadelphia, PAPennsylvania | $93.27 | $49.81 |
| Rest of PennsylvaniaPennsylvania | $85.51 | $47.18 |
| Puerto RicoPuerto Rico | $90.35 | $48.14 |
| Rhode IslandRhode Island | $91.80 | $48.67 |
| South CarolinaSouth Carolina | $85.46 | $46.89 |
| South DakotaSouth Dakota | $87.41 | $45.66 |
| TennesseeTennessee | $83.56 | $45.61 |
| Austin, TXTexas | $92.43 | $48.25 |
| Beaumont, TXTexas | $85.05 | $47.05 |
| Brazoria, TXTexas | $88.87 | $47.50 |
| Dallas, TXTexas | $89.45 | $47.86 |
| Fort Worth, TXTexas | $88.99 | $47.82 |
| Galveston, TXTexas | $89.15 | $47.69 |
| Houston, TXTexas | $91.16 | $49.70 |
| Rest of TexasTexas | $86.92 | $47.30 |
| UtahUtah | $86.45 | $47.20 |
| VirginiaVirginia | $87.91 | $46.87 |
| Virgin Islands, VIUnited States Virgin Islands | $90.35 | $48.14 |
| VermontVermont | $87.53 | $46.20 |
| Rest of WashingtonWashington | $92.11 | $48.14 |
| King County, WAWashington | $102.41 | $51.18 |
| WisconsinWisconsin | $85.19 | $45.19 |
| WyomingWyoming | $88.89 | $47.14 |
64418 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.
$80.96
$109.35
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 | $109.35 | 1 |
| AL | $81.95 | 1 |
| AR | $80.96 | 1 |
| AZ | $87.76 | 1 |
| CA | $93.59–$114.37 | 29 |
| CO | $92.70 | 1 |
| CT | $95.22 | 1 |
| DC | $101.17 | 1 |
| DE | $89.05 | 1 |
| FL | $89.48–$97.53 | 3 |
| GA | $85.11–$91.50 | 2 |
| GU | $95.21 | 1 |
| HI | $95.21 | 1 |
| IA | $83.35 | 1 |
| ID | $83.88 | 1 |
| IL | $87.53–$95.11 | 4 |
| IN | $84.28 | 1 |
| KS | $83.18 | 1 |
| KY | $83.94 | 1 |
| LA | $83.89–$87.37 | 2 |
| MA | $92.35–$100.69 | 2 |
| MD | $90.51–$101.17 | 3 |
| ME | $84.42–$88.04 | 2 |
| MI | $85.93–$90.60 | 2 |
| MN | $88.72 | 1 |
| MO | $82.79–$87.43 | 3 |
| MS | $81.88 | 1 |
| MT | $89.84 | 1 |
| NC | $85.14 | 1 |
| ND | $87.67 | 1 |
| NE | $83.68 | 1 |
| NH | $91.46 | 1 |
| NJ | $96.27–$100.42 | 2 |
| NM | $86.40 | 1 |
| NV | $89.29 | 1 |
| NY | $86.24–$104.82 | 5 |
| OH | $85.49 | 1 |
| OK | $83.63 | 1 |
| OR | $88.56–$95.08 | 2 |
| PA | $85.51–$93.27 | 2 |
| PR | $90.35 | 1 |
| RI | $91.80 | 1 |
| SC | $85.46 | 1 |
| SD | $87.41 | 1 |
| TN | $83.56 | 1 |
| TX | $85.05–$92.43 | 8 |
| UT | $86.45 | 1 |
| VA | $87.91–$101.17 | 2 |
| VI | $90.35 | 1 |
| VT | $87.53 | 1 |
| WA | $92.11–$102.41 | 2 |
| WI | $85.19 | 1 |
| WV | $84.82 | 1 |
| WY | $88.89 | 1 |
How the 64418 rate is calculated
Each of 64418’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 · 64418
RVUs × geographic indexes × conversion factor
Work1.07
1.07 RVUs× 1.000 GPCI
Practice expense1.51
1.51 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
2.6900
Conversion factor
$33.4009
Medicare rate
$89.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact West Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,102
- Code
- 64418
- Physician work
- 1.07
- Practice expense
- 1.51
- Malpractice
- 0.11
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.07 | × 1.000 | 1.0700 |
| Practice expense | 1.51 | × 0.869 | 1.3122 |
| Malpractice | 0.11 | × 1.431 | 0.1574 |
| Total RVUs | 2.5396 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$84.82
Office: (1.07 × 1 + 1.51 × 0.869 + 0.11 × 1.431) × $33.4009 = $84.82
Facility: (1.07 × 1 + 0.26 × 0.869 + 0.11 × 1.431) × $33.4009 = $48.54
Payment rules and modifiers for 64418
The CMS indicators that decide how 64418 is paid alongside other services.
CMS payment indicators · 64418
Nerve injection, suprascapular nerve
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64418 without 50 · national office
$89.85
Nerve injection, suprascapular nerve
64418-50 · Bilateral: 150%
$134.78
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64418 has changed in West Virginia
64418 · Office / nonfacility
$84.82
Effective 2026-10-01
The base rate is $5.99 higher than on 2025-10-01, moving from $78.83 to $84.82 (7.6%).
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
$78.83changed to$84.82
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.10 changed to 1.07
- Practice expense RVU 1.35 changed to 1.51
- Malpractice RVU 0.13 changed to 0.11
- Practice expense GPCI 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$81.25changed to$78.83
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.37 changed to 1.35
- Malpractice RVU 0.12 changed to 0.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$79.93changed to$81.25
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$82.64changed to$79.93
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.38 changed to 1.37
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$84.61changed to$82.64
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.40 changed to 1.38
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$85.55changed to$84.61
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.38 changed to 1.40
- Malpractice RVU 0.14 changed to 0.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$82.21changed to$85.55
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.20 changed to 1.38
- Malpractice RVU 0.12 changed to 0.14
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$91.27changed to$82.21
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.49 changed to 1.20
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$110.60changed to$91.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.12 changed to 1.49
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$134.71changed to$110.60
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 1.32 changed to 1.10
- Practice expense RVU 2.66 changed to 2.12
- Malpractice RVU 0.14 changed to 0.12
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$133.91changed to$134.71
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.68 changed to 2.66
- Practice expense GPCI 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$135.45changed to$133.91
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.70 changed to 2.68
- Malpractice RVU 0.15 changed to 0.14
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$134.78changed to$135.45
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$129.73changed to$134.78
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.60 changed to 2.70
- Malpractice RVU 0.11 changed to 0.15
- Practice expense GPCI 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$129.65changed to$129.73
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.83 changed to 2.60
- Malpractice RVU 0.12 changed to 0.11
- Practice expense GPCI 0.828 changed to 0.832
- Malpractice GPCI 1.229 changed to 1.256
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $129.65
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $84.82 | $48.54 | RVU26D |
| 2026-07-01 | $84.82 | $48.54 | RVU26C |
| 2026-04-01 | $84.82 | $48.54 | RVU26B |
| 2026-01-01 | $84.82 | $48.54 | RVU26A |
| 2025-10-01 | $78.83 | $53.18 | RVU25D |
| 2025-07-01 | $78.83 | $53.18 | RVU25C |
| 2025-04-01 | $78.83 | $53.18 | RVU25B |
| 2025-01-01 | $78.83 | $53.18 | RVU25A |
| 2024-10-01 | $81.25 | $54.28 | RVU24D |
| 2024-07-01 | $81.25 | $54.28 | RVU24C |
| 2024-04-01 | $81.25 | $54.28 | RVU24B |
| 2024-03-09 | $81.25 | $54.28 | RVU24AR |
| 2024-01-01 | $79.93 | $53.39 | RVU24A |
| 2023-10-01 | $82.64 | $54.96 | RVU23D |
| 2023-07-01 | $82.64 | $54.96 | RVU23C |
| 2023-04-01 | $82.64 | $54.96 | RVU23B |
| 2023-01-01 | $82.64 | $54.96 | RVU23A |
| 2022-10-01 | $84.61 | $55.81 | RVU22D |
| 2022-07-01 | $84.61 | $55.81 | RVU22C |
| 2022-04-01 | $84.61 | $55.81 | RVU22B |
| 2022-01-01 | $84.61 | $55.81 | RVU22A |
| 2021-10-01 | $85.55 | $57.41 | RVU21D |
| 2021-07-01 | $85.55 | $57.41 | RVU21C |
| 2021-04-01 | $85.55 | $57.41 | RVU21B |
| 2021-01-01 | $85.55 | $57.41 | RVU21A |
| 2020-10-01 | $82.21 | $58.09 | RVU20D |
| 2020-07-01 | $82.21 | $58.09 | RVU20C |
| 2020-04-01 | $82.21 | $58.09 | RVU20B |
| 2020-01-01 | $82.21 | $58.09 | RVU20A |
| 2019-10-01 | $91.27 | $58.22 | RVU19D |
| 2019-07-01 | $91.27 | $58.22 | RVU19C |
| 2019-04-01 | $91.27 | $58.22 | RVU19B |
| 2019-01-01 | $91.27 | $58.22 | RVU19A |
| 2018-10-01 | $110.60 | $62.48 | RVU18D |
| 2018-07-01 | $110.60 | $62.48 | RVU18C |
| 2018-04-01 | $110.60 | $62.48 | RVU18B |
| 2018-01-01 | $110.60 | $62.48 | RVU18AR1 |
| 2017-10-01 | $134.71 | $76.04 | RVU17D |
| 2017-07-01 | $134.71 | $76.04 | RVU17C |
| 2017-04-01 | $134.71 | $76.04 | RVU17B |
| 2017-01-01 | $134.71 | $76.04 | RVU17A |
| 2016-10-01 | $133.91 | $75.54 | RVU16D |
| 2016-07-01 | $133.91 | $75.54 | RVU16C |
| 2016-04-01 | $133.91 | $75.54 | RVU16B |
| 2016-01-01 | $133.91 | $75.54 | RVU16A |
| 2015-10-01 | $135.45 | $76.57 | RVU15D |
| 2015-07-01 | $135.45 | $76.57 | RVU15C |
| 2015-04-01 | $134.78 | $76.19 | RVU15B |
| 2015-01-01 | $134.78 | $76.19 | RVU15A |
| 2014-10-01 | $129.73 | $73.99 | RVU14D |
| 2014-07-01 | $129.73 | $73.99 | RVU14C |
| 2014-04-01 | $129.73 | $73.99 | RVU14B |
| 2014-01-01 | $129.73 | $73.99 | RVU14A |
| 2013-10-01 | $129.65 | $72.18 | RVU13D |
| 2013-07-01 | $129.65 | $72.18 | RVU13C |
| 2013-04-01 | $129.65 | $72.18 | RVU13B |
| 2013-01-01 | $129.65 | $72.18 | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
64418 billing questions
How is 64418 different from a shoulder joint injection?
64418 targets the suprascapular nerve. An injection placed into the shoulder joint itself is a different service and should not be selected based only on the shared shoulder-pain indication.
When should 64450 be considered instead?
Use 64418 when the suprascapular nerve is the target. Code 64450 is for an injection targeting a peripheral nerve or branch without a more specific code for that nerve.
What documentation supports reporting 64418?
Document the shoulder-pain indication, the suprascapular nerve as the target, laterality, injection approach, and medication administered.
Can ultrasound guidance be reported separately?
When ultrasound needle guidance is performed and documented, 76942 may be separately reportable. The record should support the guidance service as well as the nerve injection.
How does Medicare pay when both sides are treated?
For bilateral treatment, Medicare pays 150% when the service is reported with modifier 50.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
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
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