CPT code 73219: Extremity MRI, contrast, non-joint area2026 Medicare rate & RVUs in Montana
Reports contrast-enhanced MRI of an upper-extremity area outside a joint, such as a soft-tissue or marrow abnormality in the arm, forearm, or hand.
In Montana, Medicare pays $329.66 for 73219 in the office.
Check a contract rate as a % of Medicare · 73219 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 73219 covers
This service is MRI of an upper-limb area outside a joint, performed after contrast administration. Common clinical questions include characterization of a soft-tissue mass, suspected infection, or assessment of an abnormality in the arm, forearm, or hand. A technologist acquires the images, and a radiologist typically interprets them in a hospital or imaging-center setting. A joint-centered examination belongs to the separate MRI joint code family.
Select this code when the study is performed with contrast but does not include both noncontrast and postcontrast imaging; use the without-and-with code when both are performed. The order and report should identify the imaged region, the clinical concern, contrast use, and the radiologist’s findings. Modifier 26 represents interpretation, while modifier TC represents equipment and staff; without either modifier, the claim represents the global service. CMS applies diagnostic imaging multiple procedure reductions to both components. When both sides are imaged, each side is paid separately at 100%.
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 73219
Across 109 of 109 payment localities, the office rate for 73219 runs from $289.36 in Arkansas to $454.53 in San Benito County, CA. Montana pays $329.66. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$329.66
- Los Angeles, CA · California$380.60+$50.94
- Washington, DC area · District of Columbia$381.56+$51.90
- Miami, FL · Florida$346.49+$16.83
- Chicago, IL · Illinois$336.16+$6.50
- Manhattan, NY · New York$379.46+$49.80
- Alaska · Alaska$372.16+$42.50
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $293.92 | — |
| ArkansasArkansas | $289.36 | — |
| ArizonaArizona | $320.67 | — |
| Bakersfield, CACalifornia | $355.46 | — |
| Chico, CACalifornia | $355.09 | — |
| El Centro, CACalifornia | $355.11 | — |
| Fresno, CACalifornia | $355.09 | — |
| Hanford, CACalifornia | $355.09 | — |
| Madera, CACalifornia | $355.09 | — |
| Merced, CACalifornia | $355.09 | — |
| Modesto, CACalifornia | $355.09 | — |
| Napa, CACalifornia | $418.07 | — |
| Oxnard, CACalifornia | $379.49 | — |
| Redding, CACalifornia | $355.09 | — |
| Rest of CaliforniaCalifornia | $355.09 | — |
| Riverside, CACalifornia | $356.31 | — |
| Sacramento, CACalifornia | $374.40 | — |
| Salinas, CACalifornia | $373.04 | — |
| San Diego, CACalifornia | $383.12 | — |
| Marin County, CACalifornia | $444.71 | — |
| San Francisco, CACalifornia | $444.59 | — |
| San Benito County, CACalifornia | $454.53 | — |
| Santa Clara County, CACalifornia | $454.02 | — |
| San Luis Obispo, CACalifornia | $366.84 | — |
| Santa Cruz, CACalifornia | $387.81 | — |
| Santa Maria, CACalifornia | $374.79 | — |
| Santa Rosa, CACalifornia | $391.84 | — |
| Stockton, CACalifornia | $355.09 | — |
| Vallejo, CACalifornia | $417.89 | — |
| Visalia, CACalifornia | $355.09 | — |
| Yuba City, CACalifornia | $355.09 | — |
| ColoradoColorado | $346.98 | — |
| ConnecticutConnecticut | $352.53 | — |
| DelawareDelaware | $326.28 | — |
| Fort Lauderdale, FLFlorida | $336.19 | — |
| Rest of FloridaFlorida | $319.49 | — |
| Atlanta, GAGeorgia | $334.94 | — |
| Rest of GeorgiaGeorgia | $300.86 | — |
| Hawaii, Guam, HIHawaii | $365.55 | — |
| IowaIowa | $304.23 | — |
| IdahoIdaho | $305.87 | — |
| East St. Louis, ILIllinois | $311.53 | — |
| Rest of IllinoisIllinois | $307.97 | — |
| Suburban Chicago, ILIllinois | $340.25 | — |
| IndianaIndiana | $307.83 | — |
| KansasKansas | $301.62 | — |
| KentuckyKentucky | $299.03 | — |
| New Orleans, LALouisiana | $314.05 | — |
| Rest of LouisianaLouisiana | $298.09 | — |
| Metropolitan Boston, MAMassachusetts | $384.43 | — |
| Rest of MassachusettsMassachusetts | $344.25 | — |
| Baltimore area, MDMaryland | $351.33 | — |
| Rest of MarylandMaryland | $333.17 | — |
| Rest of MaineMaine | $306.42 | — |
| Southern Maine, MEMaine | $325.85 | — |
| Detroit, MIMichigan | $322.62 | — |
| Rest of MichiganMichigan | $306.37 | — |
| MinnesotaMinnesota | $335.00 | — |
| Metropolitan Kansas City, MOMissouri | $312.92 | — |
| Metropolitan St. Louis, MOMissouri | $316.56 | — |
| Rest of MissouriMissouri | $291.87 | — |
| MississippiMississippi | $290.73 | — |
| North CarolinaNorth Carolina | $310.03 | — |
| North DakotaNorth Dakota | $327.48 | — |
| NebraskaNebraska | $306.34 | — |
| New HampshireNew Hampshire | $340.41 | — |
| Northern New JerseyNew Jersey | $376.96 | — |
| Rest of New JerseyNew Jersey | $357.27 | — |
| New MexicoNew Mexico | $307.73 | — |
| NevadaNevada | $329.33 | — |
| NYC suburbs and Long Island, NYNew York | $387.83 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $358.77 | — |
| Queens, NYNew York | $384.39 | — |
| Rest of New YorkNew York | $314.91 | — |
| OhioOhio | $305.93 | — |
| OklahomaOklahoma | $299.61 | — |
| Portland, OROregon | $359.90 | — |
| Rest of OregonOregon | $327.48 | — |
| Metropolitan Philadelphia, PAPennsylvania | $342.53 | — |
| Rest of PennsylvaniaPennsylvania | $307.06 | — |
| Puerto RicoPuerto Rico | $332.62 | — |
| Rhode IslandRhode Island | $339.29 | — |
| South CarolinaSouth Carolina | $308.35 | — |
| South DakotaSouth Dakota | $327.23 | — |
| TennesseeTennessee | $303.10 | — |
| Austin, TXTexas | $345.20 | — |
| Beaumont, TXTexas | $304.82 | — |
| Brazoria, TXTexas | $326.82 | — |
| Dallas, TXTexas | $328.53 | — |
| Fort Worth, TXTexas | $325.84 | — |
| Galveston, TXTexas | $327.54 | — |
| Houston, TXTexas | $329.56 | — |
| Rest of TexasTexas | $315.38 | — |
| UtahUtah | $312.90 | — |
| VirginiaVirginia | $323.94 | — |
| Virgin Islands, VIUnited States Virgin Islands | $332.62 | — |
| VermontVermont | $325.12 | — |
| Rest of WashingtonWashington | $343.96 | — |
| King County, WAWashington | $393.65 | — |
| WisconsinWisconsin | $315.65 | — |
| West VirginiaWest Virginia | $295.46 | — |
| WyomingWyoming | $328.71 | — |
73219 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.
$289.36
$404.81
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 | $372.16 | 1 |
| AL | $293.92 | 1 |
| AR | $289.36 | 1 |
| AZ | $320.67 | 1 |
| CA | $355.09–$454.53 | 29 |
| CO | $346.98 | 1 |
| CT | $352.53 | 1 |
| DC | $381.56 | 1 |
| DE | $326.28 | 1 |
| FL | $319.49–$346.49 | 3 |
| GA | $300.86–$334.94 | 2 |
| GU | $365.55 | 1 |
| HI | $365.55 | 1 |
| IA | $304.23 | 1 |
| ID | $305.87 | 1 |
| IL | $307.97–$340.25 | 4 |
| IN | $307.83 | 1 |
| KS | $301.62 | 1 |
| KY | $299.03 | 1 |
| LA | $298.09–$314.05 | 2 |
| MA | $344.25–$384.43 | 2 |
| MD | $333.17–$381.56 | 3 |
| ME | $306.42–$325.85 | 2 |
| MI | $306.37–$322.62 | 2 |
| MN | $335.00 | 1 |
| MO | $291.87–$316.56 | 3 |
| MS | $290.73 | 1 |
| MT | $329.66 | 1 |
| NC | $310.03 | 1 |
| ND | $327.48 | 1 |
| NE | $306.34 | 1 |
| NH | $340.41 | 1 |
| NJ | $357.27–$376.96 | 2 |
| NM | $307.73 | 1 |
| NV | $329.33 | 1 |
| NY | $314.91–$387.83 | 5 |
| OH | $305.93 | 1 |
| OK | $299.61 | 1 |
| OR | $327.48–$359.90 | 2 |
| PA | $307.06–$342.53 | 2 |
| PR | $332.62 | 1 |
| RI | $339.29 | 1 |
| SC | $308.35 | 1 |
| SD | $327.23 | 1 |
| TN | $303.10 | 1 |
| TX | $304.82–$345.20 | 8 |
| UT | $312.90 | 1 |
| VA | $323.94–$381.56 | 2 |
| VI | $332.62 | 1 |
| VT | $325.12 | 1 |
| WA | $343.96–$393.65 | 2 |
| WI | $315.65 | 1 |
| WV | $295.46 | 1 |
| WY | $328.71 | 1 |
How the 73219 rate is calculated
Each of 73219’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 · 73219
RVUs × geographic indexes × conversion factor
Work1.58
1.58 RVUs× 1.000 GPCI
Practice expense8.18
8.18 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
9.8700
Conversion factor
$33.4009
Medicare rate
$329.67
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
8,168
- Code
- 73219
- Physician work
- 1.58
- Practice expense
- 8.18
- Malpractice
- 0.11
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.58 | × 1.000 | 1.5800 |
| Practice expense | 8.18 | × 1.000 | 8.1800 |
| Malpractice | 0.11 | × 0.998 | 0.1098 |
| Total RVUs | 9.8698 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$329.66
Office: (1.58 × 1 + 8.18 × 1 + 0.11 × 0.998) × $33.4009 = $329.66
Payment rules and modifiers for 73219
The CMS indicators that decide how 73219 is paid alongside other services.
CMS payment indicators · 73219
Extremity MRI, contrast, non-joint area
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
73219 without 26 · national office
$329.67
Extremity MRI, contrast, non-joint area
73219-26 · Professional component
$74.82
Pays only the interpretation and report.
How 73219 has changed in Montana
73219 · Office / nonfacility
$329.66
Effective 2026-10-01
The base rate is $5.30 higher than on 2025-10-01, moving from $324.36 to $329.66 (1.6%).
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
$324.36changed to$329.66
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.62 changed to 1.58
- Practice expense RVU 8.31 changed to 8.18
- Malpractice RVU 0.10 changed to 0.11
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$340.45changed to$324.36
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.50 changed to 8.31
- Malpractice RVU 0.11 changed to 0.10
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$334.89changed to$340.45
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$353.35changed to$334.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.69 changed to 8.50
- Malpractice RVU 0.12 changed to 0.11
January 1, 2023
RVU23A
$363.97changed to$353.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.79 changed to 8.69
- Malpractice RVU 0.11 changed to 0.12
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$386.53changed to$363.97
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.35 changed to 8.79
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$397.47changed to$386.53
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.25 changed to 9.35
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$402.90changed to$397.47
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 9.38 changed to 9.25
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$413.61changed to$402.90
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 9.69 changed to 9.38
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$408.67changed to$413.61
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 9.61 changed to 9.69
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$407.98changed to$408.67
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 9.64 changed to 9.61
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$407.82changed to$407.98
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 9.57 changed to 9.64
- Malpractice RVU 0.13 changed to 0.11
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$405.79changed to$407.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$422.64changed to$405.79
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 10.05 changed to 9.57
- Malpractice RVU 0.11 changed to 0.13
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$471.94changed to$422.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 12.13 changed to 10.05
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $471.94
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $329.66 | Not available in this setting | RVU26D |
| 2026-07-01 | $329.66 | Not available in this setting | RVU26C |
| 2026-04-01 | $329.66 | Not available in this setting | RVU26B |
| 2026-01-01 | $329.66 | Not available in this setting | RVU26A |
| 2025-10-01 | $324.36 | Not available in this setting | RVU25D |
| 2025-07-01 | $324.36 | Not available in this setting | RVU25C |
| 2025-04-01 | $324.36 | Not available in this setting | RVU25B |
| 2025-01-01 | $324.36 | Not available in this setting | RVU25A |
| 2024-10-01 | $340.45 | Not available in this setting | RVU24D |
| 2024-07-01 | $340.45 | Not available in this setting | RVU24C |
| 2024-04-01 | $340.45 | Not available in this setting | RVU24B |
| 2024-03-09 | $340.45 | Not available in this setting | RVU24AR |
| 2024-01-01 | $334.89 | Not available in this setting | RVU24A |
| 2023-10-01 | $353.35 | Not available in this setting | RVU23D |
| 2023-07-01 | $353.35 | Not available in this setting | RVU23C |
| 2023-04-01 | $353.35 | Not available in this setting | RVU23B |
| 2023-01-01 | $353.35 | Not available in this setting | RVU23A |
| 2022-10-01 | $363.97 | Not available in this setting | RVU22D |
| 2022-07-01 | $363.97 | Not available in this setting | RVU22C |
| 2022-04-01 | $363.97 | Not available in this setting | RVU22B |
| 2022-01-01 | $363.97 | Not available in this setting | RVU22A |
| 2021-10-01 | $386.53 | Not available in this setting | RVU21D |
| 2021-07-01 | $386.53 | Not available in this setting | RVU21C |
| 2021-04-01 | $386.53 | Not available in this setting | RVU21B |
| 2021-01-01 | $386.53 | Not available in this setting | RVU21A |
| 2020-10-01 | $397.47 | Not available in this setting | RVU20D |
| 2020-07-01 | $397.47 | Not available in this setting | RVU20C |
| 2020-04-01 | $397.47 | Not available in this setting | RVU20B |
| 2020-01-01 | $397.47 | Not available in this setting | RVU20A |
| 2019-10-01 | $402.90 | Not available in this setting | RVU19D |
| 2019-07-01 | $402.90 | Not available in this setting | RVU19C |
| 2019-04-01 | $402.90 | Not available in this setting | RVU19B |
| 2019-01-01 | $402.90 | Not available in this setting | RVU19A |
| 2018-10-01 | $413.61 | Not available in this setting | RVU18D |
| 2018-07-01 | $413.61 | Not available in this setting | RVU18C |
| 2018-04-01 | $413.61 | Not available in this setting | RVU18B |
| 2018-01-01 | $413.61 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $408.67 | Not available in this setting | RVU17D |
| 2017-07-01 | $408.67 | Not available in this setting | RVU17C |
| 2017-04-01 | $408.67 | Not available in this setting | RVU17B |
| 2017-01-01 | $408.67 | Not available in this setting | RVU17A |
| 2016-10-01 | $407.98 | Not available in this setting | RVU16D |
| 2016-07-01 | $407.98 | Not available in this setting | RVU16C |
| 2016-04-01 | $407.98 | Not available in this setting | RVU16B |
| 2016-01-01 | $407.98 | Not available in this setting | RVU16A |
| 2015-10-01 | $407.82 | Not available in this setting | RVU15D |
| 2015-07-01 | $407.82 | Not available in this setting | RVU15C |
| 2015-04-01 | $405.79 | Not available in this setting | RVU15B |
| 2015-01-01 | $405.79 | Not available in this setting | RVU15A |
| 2014-10-01 | $422.64 | Not available in this setting | RVU14D |
| 2014-07-01 | $422.64 | Not available in this setting | RVU14C |
| 2014-04-01 | $422.64 | Not available in this setting | RVU14B |
| 2014-01-01 | $422.64 | Not available in this setting | RVU14A |
| 2013-10-01 | $471.94 | Not available in this setting | RVU13D |
| 2013-07-01 | $471.94 | Not available in this setting | RVU13C |
| 2013-04-01 | $471.94 | Not available in this setting | RVU13B |
| 2013-01-01 | $471.94 | Not available in this setting | 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
73219 billing questions
How does this differ from 73218?
Use 73219 when contrast is used for the MRI. Code 73218 represents an upper-extremity MRI performed without contrast.
When is 73220 a better fit?
Use 73220 when the examination includes both noncontrast and postcontrast imaging. This code is for the contrast-enhanced study without that combined acquisition.
Can the interpretation and image acquisition be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; an unmodified claim represents the global service.
Does a joint MRI use this code?
No. When the examination is centered on an upper-extremity joint, choose the applicable joint MRI code, such as 73221, 73222, or 73223, based on contrast use.
How is bilateral imaging treated?
CMS pays each side separately at 100% when both sides are imaged. The documentation should support the examination of each side.
Can another diagnostic imaging service be reduced when billed with this one?
CMS diagnostic imaging multiple procedure reduction applies to the technical and professional components when applicable. The reduction can affect both components of this MRI service.
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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