$219.21
73718 is for non-joint lower-extremity MRI without contrast; 73719 is for the contrast study.
On this page
CMS RVU26D · Effective 2026-10-01
73719 Extremity MRI Medicare reimbursement rates in Vermont
Reports MRI of non-joint lower-extremity anatomy performed with contrast, such as imaging to characterize a soft-tissue lesion or evaluate suspected infection. Compare 73719 office and facility rates across CMS payment localities in Vermont.
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.
What does Medicare pay for 73719 in Vermont?
Vermont has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$257.33
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
MRI
About 73719: Lower extremity MRI with contrast
Reports MRI of non-joint lower-extremity anatomy performed with contrast, such as imaging to characterize a soft-tissue lesion or evaluate suspected infection.
This study uses magnetic resonance imaging with contrast to assess non-joint structures of a lower limb, including muscle, bone, and soft tissue. A radiology practice typically performs the scan, and a radiologist interprets the images. Examples include evaluating a soft-tissue mass or suspected infection in the thigh or lower leg. When the study is focused on a joint, select from the lower-extremity joint MRI codes instead.
Choose this code when the imaging protocol uses contrast without the corresponding pre-contrast and post-contrast study; code 73720 describes MRI performed both without and with contrast. Documentation should identify the imaged anatomy, contrast protocol, and interpretation. The service may be billed globally, or as the professional interpretation with modifier 26 or the technical service with modifier TC. For bilateral imaging, each side is paid separately at 100%. The diagnostic imaging multiple procedure reduction applies to both professional and technical components.
CMS billing rules for 73719
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU1.58 · 20%
- Practice expense (office) RVU6.13 · 78%
- Malpractice RVU0.11 · 1%
930
Medicare services in 2024 · #3025 by national volume
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.
73719 compared with similar codes
Office rates for Vermont, from the same CMS release.
$329.94
73720 represents imaging both without and with contrast. Report 73719 when the protocol uses contrast without the pre-contrast portion.
$310.57
73722 is for MRI of a lower-extremity joint with contrast. Use 73719 for non-joint lower-extremity anatomy.
$163.26
73701 describes contrast-enhanced CT of a lower extremity, not MRI.
Compare 73719 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Vermont →
Office / nonfacility
$257.33
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 73719 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
8,270
- Code
- 73719
- Physician work
- 1.58
- Practice expense
- 6.13
- Malpractice
- 0.11
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.58 | × 1.000 | 1.5800 |
| Practice expense | 6.13 | × 0.990 | 6.0687 |
| Malpractice | 0.11 | × 0.506 | 0.0557 |
| Total RVUs | 7.7044 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$257.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.58 | 1 |
| Practice expense | 6.13 | 0.99 |
| Malpractice | 0.11 | 0.506 |
(1.58 × 1 + 6.13 × 0.99 + 0.11 × 0.506) × $33.4009 = $257.33
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.
73719 billing questions
How does this differ from 73718?
73719 describes non-joint lower-extremity MRI performed with contrast. Use 73718 when the study is performed without contrast.
When should 73720 be reported instead?
Use 73720 when the MRI includes both without-contrast and with-contrast imaging. This code is for the with-contrast study without that combined protocol.
Can the professional interpretation and technical service be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; billing without either modifier represents the global service.
How is bilateral imaging handled?
When both lower extremities are imaged, each side is paid separately at 100%.
Does the multiple imaging reduction affect only the technical service?
No. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
Can this code describe an MRI focused on a lower-extremity joint?
No. For a joint-focused MRI with contrast, use the lower-extremity joint MRI family, such as 73722.
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.
8,26773718,,Mri lower extremity w/o dye,A,,1.32,5.25,,5.25,NA,0.09,6.66,6.66,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,7.74,7.74,0.10
8,26873718,26,Mri lower extremity w/o dye,A,,1.32,0.47,,0.47,,0.07,1.86,1.86,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,26973718,TC,Mri lower extremity w/o dye,A,,0.00,4.78,,4.78,NA,0.02,4.80,4.80,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,01,0,88,7.27,7.27,0.03
8,27073719,,Mri lower extremity w/dye,A,,1.58,6.13,,6.13,NA,0.11,7.82,7.82,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,11.17,11.17,0.14
8,27173719,26,Mri lower extremity w/dye,A,,1.58,0.56,,0.56,,0.08,2.22,2.22,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,27273719,TC,Mri lower extremity w/dye,A,,0.00,5.57,,5.57,NA,0.03,5.60,5.60,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
8,27373720,,Mri lwr extremity w/o&w/dye,A,,2.10,7.78,,7.78,NA,0.15,10.03,10.03,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,11.38,11.38,0.17
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817