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CMS RVU26D · Effective 2026-10-01

93145 in Modesto

Office / nonfacility

$57.39

Base rate per service

Facility setting

$27.73

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Neurostimulation

About 93145: In-person cranial neurostimulator interrogation

In-person interrogation of a cranial responsive therapy device without programming, used to review device status and stored information during a specialist visit.

This service is an in-person review of a cranial responsive therapy device (CRTD) without changing its settings. A neurologist or other clinician managing the implanted system may perform it during follow-up for a patient receiving cranial neurostimulation, such as treatment for epilepsy. The review may include device status and available stored information; it does not include programming adjustments.

Report this code when the encounter includes the specified in-person interrogation and no programming. The device record should identify the system and document the interrogation performed and its findings. If settings are changed as part of the encounter, distinguish that work from an interrogation without programming and consider the applicable programming code. The CMS facts supplied for this code list no payment rules; they do not specify a global period, component split, or payment reduction for this service.

Where the value comes from

  • Work RVU0.65 · 40%
  • Practice expense (office) RVU0.94 · 57%
  • Malpractice RVU0.05 · 3%

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.

93145 compared with similar codes

Office rates for Modesto, from the same CMS release.

93146

CRT-D interrogation

In person, with programming

$87.29

Both concern in-person CRTD interrogation; choose 93145 when no programming occurs and 93146 when programming is performed.

93153

Device interrogation

Without programming

$62.03

93153 concerns interrogation without programming of an implantable neurostimulator pulse-generator system; 93145 identifies the CRTD service.

93151

Neurostimulator programming

Interrogation with programming

$100.42

93151 includes interrogation and programming for an implantable neurostimulator pulse-generator system, unlike the no-programming CRTD service represented by 93145.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 93145 is $57.55—$0.16 higher than the $57.39 rate in Modesto. Both use the same code, release and participation basis.

93145 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $57.39

  2. $0.16 higher than Modesto

  3. Chico

    $57.39

    The same base rate than Modesto

  4. El Centro

    $57.39

    The same base rate than Modesto

  5. Fresno

    $57.39

    The same base rate than Modesto

  6. The same base rate than Modesto

  7. $3.46 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 93145 ranges from $49.54 in Arkansas to $70.27 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Madera

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Merced

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Napa

    California · 93145

    Office

    $65.31

    Facility

    $29.65

    $7.92 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93145

    Office

    $60.47

    Facility

    $28.49

    $3.08 higher than Modesto for the office setting.

  • Redding

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93145

    Office

    $57.94

    Facility

    $28.28

    $0.55 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93145

    Office

    $59.90

    Facility

    $28.44

    $2.51 higher than Modesto for the office setting.

  • Salinas

    California · 93145

    Office

    $59.67

    Facility

    $28.31

    $2.28 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93145

    Office

    $60.82

    Facility

    $28.46

    $3.43 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93145

    Office

    $68.81

    Facility

    $30.66

    $11.42 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 93145

    Office

    $68.75

    Facility

    $30.61

    $11.36 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 93145

    Office

    $70.27

    Facility

    $31.26

    $12.88 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 93145

    Office

    $70.04

    Facility

    $31.02

    $12.65 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93145

    Office

    $58.74

    Facility

    $27.92

    $1.35 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 93145

    Office

    $61.21

    Facility

    $28.34

    $3.82 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 93145

    Office

    $59.82

    Facility

    $28.28

    $2.43 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 93145

    Office

    $61.81

    Facility

    $28.59

    $4.42 higher than Modesto for the office setting.

  • Stockton

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 93145

    Office

    $65.23

    Facility

    $29.57

    $7.84 higher than Modesto for the office setting.

  • Visalia

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 93145

    Office

    $57.39

    Facility

    $27.73

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93145

    Office

    $61.73

    Facility

    $29.86

    $4.34 higher than Modesto for the office setting.

  • Miami

    Florida · 93145

    Office

    $58.62

    Facility

    $30.45

    $1.23 higher than Modesto for the office setting.

  • Chicago

    Illinois · 93145

    Office

    $57.25

    Facility

    $30.06

    $0.14 lower than Modesto for the office setting.

  • Manhattan

    New York · 93145

    Office

    $62.23

    Facility

    $30.79

    $4.84 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 93145

    Office

    $66.92

    Facility

    $38.11

    $9.53 higher than Modesto for the office setting.

  • Alabama

    Alabama · 93145

    Office

    $50.13

    Facility

    $26.46

    $7.26 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 93145

    Office

    $49.54

    Facility

    $26.30

    $7.85 lower than Modesto for the office setting.

  • Arizona

    Arizona · 93145

    Office

    $53.56

    Facility

    $27.35

    $3.83 lower than Modesto for the office setting.

  • Colorado

    Colorado · 93145

    Office

    $56.68

    Facility

    $27.90

    $0.71 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 93145

    Office

    $57.98

    Facility

    $28.84

    $0.59 higher than Modesto for the office setting.

  • Delaware

    Delaware · 93145

    Office

    $54.34

    Facility

    $27.61

    $3.05 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 93145

    Office

    $56.54

    Facility

    $29.13

    $0.85 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 93145

    Office

    $54.24

    Facility

    $28.37

    $3.15 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 93145

    Office

    $55.68

    Facility

    $28.19

    $1.71 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 93145

    Office

    $51.71

    Facility

    $27.57

    $5.68 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 93145

    Office

    $58.38

    Facility

    $27.61

    $0.99 higher than Modesto for the office setting.

  • Iowa

    Iowa · 93145

    Office

    $51.10

    Facility

    $26.35

    $6.29 lower than Modesto for the office setting.

  • Idaho

    Idaho · 93145

    Office

    $51.39

    Facility

    $26.50

    $6.00 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 93145

    Office

    $53.96

    Facility

    $29.07

    $3.43 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 93145

    Office

    $52.99

    Facility

    $28.29

    $4.40 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 93145

    Office

    $57.07

    Facility

    $29.28

    $0.32 lower than Modesto for the office setting.

  • Indiana

    Indiana · 93145

    Office

    $51.63

    Facility

    $26.55

    $5.76 lower than Modesto for the office setting.

  • Kansas

    Kansas · 93145

    Office

    $50.94

    Facility

    $26.48

    $6.45 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 93145

    Office

    $51.15

    Facility

    $27.10

    $6.24 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 93145

    Office

    $53.15

    Facility

    $27.69

    $4.24 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 93145

    Office

    $51.10

    Facility

    $27.15

    $6.29 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 93145

    Office

    $61.57

    Facility

    $29.27

    $4.18 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93145

    Office

    $56.45

    Facility

    $27.96

    $0.94 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93145

    Office

    $57.81

    Facility

    $28.78

    $0.42 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 93145

    Office

    $55.23

    Facility

    $27.86

    $2.16 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 93145

    Office

    $51.63

    Facility

    $26.74

    $5.76 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 93145

    Office

    $53.88

    Facility

    $27.07

    $3.51 lower than Modesto for the office setting.

  • Detroit

    Michigan · 93145

    Office

    $54.82

    Facility

    $28.72

    $2.57 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 93145

    Office

    $52.26

    Facility

    $27.56

    $5.13 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 93145

    Office

    $54.51

    Facility

    $26.67

    $2.88 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 93145

    Office

    $52.82

    Facility

    $27.42

    $4.57 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 93145

    Office

    $53.27

    Facility

    $27.52

    $4.12 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 93145

    Office

    $50.40

    Facility

    $27.08

    $6.99 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 93145

    Office

    $49.98

    Facility

    $26.68

    $7.41 lower than Modesto for the office setting.

  • Montana**

    Montana · 93145

    Office

    $54.77

    Facility

    $27.72

    $2.62 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 93145

    Office

    $52.07

    Facility

    $26.83

    $5.32 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 93145

    Office

    $53.79

    Facility

    $26.73

    $3.60 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 93145

    Office

    $51.32

    Facility

    $26.35

    $6.07 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 93145

    Office

    $55.86

    Facility

    $27.69

    $1.53 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 93145

    Office

    $61.28

    Facility

    $29.90

    $3.89 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 93145

    Office

    $58.70

    Facility

    $29.15

    $1.31 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 93145

    Office

    $52.51

    Facility

    $27.70

    $4.88 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 93145

    Office

    $54.53

    Facility

    $27.45

    $2.86 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93145

    Office

    $63.53

    Facility

    $31.36

    $6.14 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93145

    Office

    $59.09

    Facility

    $29.46

    $1.70 higher than Modesto for the office setting.

  • Queens

    New York · 93145

    Office

    $62.62

    Facility

    $30.64

    $5.23 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 93145

    Office

    $52.71

    Facility

    $27.01

    $4.68 lower than Modesto for the office setting.

  • Ohio

    Ohio · 93145

    Office

    $52.06

    Facility

    $27.36

    $5.33 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 93145

    Office

    $51.05

    Facility

    $26.89

    $6.34 lower than Modesto for the office setting.

  • Portland

    Oregon · 93145

    Office

    $58.18

    Facility

    $28.12

    $0.79 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 93145

    Office

    $54.16

    Facility

    $27.21

    $3.23 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93145

    Office

    $56.78

    Facility

    $28.61

    $0.61 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93145

    Office

    $52.11

    Facility

    $27.27

    $5.28 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 93145

    Office

    $55.10

    Facility

    $27.75

    $2.29 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 93145

    Office

    $56.05

    Facility

    $28.10

    $1.34 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 93145

    Office

    $52.14

    Facility

    $27.14

    $5.25 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 93145

    Office

    $53.67

    Facility

    $26.61

    $3.72 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 93145

    Office

    $51.15

    Facility

    $26.55

    $6.24 lower than Modesto for the office setting.

  • Austin

    Texas · 93145

    Office

    $56.45

    Facility

    $27.83

    $0.94 lower than Modesto for the office setting.

  • Beaumont

    Texas · 93145

    Office

    $51.83

    Facility

    $27.21

    $5.56 lower than Modesto for the office setting.

  • Brazoria

    Texas · 93145

    Office

    $54.30

    Facility

    $27.49

    $3.09 lower than Modesto for the office setting.

  • Dallas

    Texas · 93145

    Office

    $54.61

    Facility

    $27.66

    $2.78 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 93145

    Office

    $54.32

    Facility

    $27.64

    $3.07 lower than Modesto for the office setting.

  • Galveston

    Texas · 93145

    Office

    $54.44

    Facility

    $27.58

    $2.95 lower than Modesto for the office setting.

  • Houston

    Texas · 93145

    Office

    $55.36

    Facility

    $28.49

    $2.03 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 93145

    Office

    $53.01

    Facility

    $27.34

    $4.38 lower than Modesto for the office setting.

  • Utah

    Utah · 93145

    Office

    $52.72

    Facility

    $27.29

    $4.67 lower than Modesto for the office setting.

  • Virginia

    Virginia · 93145

    Office

    $53.75

    Facility

    $27.16

    $3.64 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93145

    Office

    $55.10

    Facility

    $27.75

    $2.29 lower than Modesto for the office setting.

  • Vermont

    Vermont · 93145

    Office

    $53.64

    Facility

    $26.85

    $3.75 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 93145

    Office

    $56.32

    Facility

    $27.84

    $1.07 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 93145

    Office

    $62.68

    Facility

    $29.49

    $5.29 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 93145

    Office

    $52.30

    Facility

    $26.38

    $5.09 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 93145

    Office

    $51.38

    Facility

    $27.87

    $6.01 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 93145

    Office

    $54.34

    Facility

    $27.29

    $3.05 lower than Modesto for the office setting.

See how rates vary across the country

93145 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$49.54

$66.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$66.921
AL$50.131
AR$49.541
AZ$53.561
CA$57.39–$70.2729
CO$56.681
CT$57.981
DC$61.731
DE$54.341
FL$54.24–$58.623
GA$51.71–$55.682
GU$58.381
HI$58.381
IA$51.101
ID$51.391
IL$52.99–$57.254
IN$51.631
KS$50.941
KY$51.151
LA$51.10–$53.152
MA$56.45–$61.572
MD$55.23–$61.733
ME$51.63–$53.882
MI$52.26–$54.822
MN$54.511
MO$50.40–$53.273
MS$49.981
MT$54.771
NC$52.071
ND$53.791
NE$51.321
NH$55.861
NJ$58.70–$61.282
NM$52.511
NV$54.531
NY$52.71–$63.535
OH$52.061
OK$51.051
OR$54.16–$58.182
PA$52.11–$56.782
PR$55.101
RI$56.051
SC$52.141
SD$53.671
TN$51.151
TX$51.83–$56.458
UT$52.721
VA$53.75–$61.732
VI$55.101
VT$53.641
WA$56.32–$62.682
WI$52.301
WV$51.381
WY$54.341

Explore 93145 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 93145 in Modesto, the physician’s office rate is $57.39 and the facility-setting rate is $27.73: a difference of $29.66.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93145 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$63.13

$57.39 × 110% = $63.13

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93145 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

11,952

Code
93145
Physician work
0.65
Practice expense
0.94
Malpractice
0.05

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 93145 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0170.6610
Practice expense0.94× 1.0961.0302
Malpractice0.05× 0.5360.0268
Total RVUs1.7181
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$57.39

Open 93145 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.651.017
Practice expense0.941.096
Malpractice0.050.536

(0.65 × 1.017 + 0.94 × 1.096 + 0.05 × 0.536) × $33.4009 = $57.39

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.651.017
Practice expense0.131.096
Malpractice0.050.536

(0.65 × 1.017 + 0.13 × 1.096 + 0.05 × 0.536) × $33.4009 = $27.73

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

93145 · Office / nonfacility

$57.39

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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

    No ratechanged to$57.39

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$57.39$27.73RVU26D
2026-07-01$57.39$27.73RVU26C
2026-04-01$57.39$27.73RVU26B
2026-01-01$57.39$27.73RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

93145 billing questions

When should this code be selected instead of 93146?

Use 93145 for an in-person CRTD interrogation without programming. Code 93146 is the related option when programming is performed.

Can this code be reported when device settings are changed?

No. This code describes interrogation without programming; document any programming separately and select the code that represents the work performed.

What documentation supports the service?

Record the implanted CRTD system, the in-person interrogation, and the findings reviewed, such as device status and stored information.

Does this code describe a remote device check?

No. The descriptor identifies an in-person interrogation.

Is this a component code or does it have a listed add-on pairing?

The supplied CMS facts list no component or add-on rule for 93145.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 93145PPRRVU2026_Oct_nonQPP.csv, line 11,952 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)