Billing code 73206Medicare rate & RVUs in Georgia

Compare 73206 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20262 payment localities8.6K Medicare services in 2024

CMS doesn’t publish an office rate for 73206 in Georgia.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 73206 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Georgia
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

Where 73206 pays more and less in Georgia

73206 office and facility rates by payment locality
Payment localityOfficeFacility
AtlantaUnavailableUnavailable
Rest Of GeorgiaUnavailableUnavailable

How the 73206 rate is calculated

Each of 73206’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 · 73206

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.76Practice expense 6.95Malpractice 0.14

8.8500 adjusted RVUs×$33.4009 conversion factor=$295.60

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 73206

The CMS indicators that decide how 73206 is paid alongside other services.

CMS payment indicators · 73206

Code 73206

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73206 without 26 · national office

$295.60

73206-26 · Professional component

$82.50

Pays only the interpretation and report.

When to use modifier 26

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

Open CMS sourceHow we calculate rates

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