CPT code 73721: Lower extremity joint MRI, without contrast2026 Medicare rate & RVUs in New York, New York
CPT 73721: $234.48–$239.54 office across 3 localities in New York, NY in 2026 Medicare. Compare each area.
Medicare pays $234.48–$239.54 for 73721 in the office in New York, New York, from Manhattan, NY to NYC suburbs and Long Island, NY. Which amount applies depends on the service address.
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 6 sections
Where 73721 pays more and less in New York, New York
New York, New York maps to 3 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
3 payment localities
$234.48 to $239.54
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | $234.48 | Unavailable |
| NYC suburbs and Long Island, NY | $239.54 | Unavailable |
| Queens, NY | $237.20 | Unavailable |
How payment areas work in New York
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- NYC suburbs / Long Island · Bronx County, Kings County, Richmond County
- Manhattan · New York County
- Queens · Queens County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 73721 rate is calculated
Each of 73721’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 · 73721
RVUs × geographic indexes × conversion factor
Work1.32
1.32 RVUs× 1.000 GPCI
Practice expense4.71
4.71 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.1200
Conversion factor
$33.4009
Medicare rate
$204.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73721
The CMS indicators that decide how 73721 is paid alongside other services.
CMS payment indicators · 73721
Lower extremity joint MRI, without contrast
| 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
73721 without 26 · national office
$204.41
Lower extremity joint MRI, without contrast
73721-26 · Professional component
$62.79
Pays only the interpretation and report.
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
Fee sheets · Coming soon
Put 73721 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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