$35.57
This code covers the humerus; 73030 is for a shoulder examination. Select based on the anatomy imaged, not simply the symptom location.
On this page
CMS RVU26D · Effective 2026-10-01
73060 Humerus X-ray Medicare reimbursement rates in Wyoming
Reports radiographic imaging of the upper-arm bone with at least two views, such as for suspected humeral fracture or follow-up imaging. Compare 73060 office and facility rates across CMS payment localities in Wyoming.
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 73060 in Wyoming?
Wyoming 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
$31.89
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Radiology
About 73060: Humerus X-ray examination
Reports radiographic imaging of the upper-arm bone with at least two views, such as for suspected humeral fracture or follow-up imaging.
This service covers X-ray imaging of the humerus, the bone between the shoulder and elbow, using at least two views. It is commonly ordered for upper-arm pain, trauma, suspected fracture, or assessment of a known humeral injury. Radiologic technologists obtain the images in a hospital, imaging center, or office; a qualified practitioner interprets them and reports the findings.
Choose this code when the study is directed at the humerus, rather than only the shoulder, elbow, or forearm. The order and imaging documentation should identify the anatomic target and support the views obtained. The physician’s interpretation may be billed with modifier 26, the equipment and staff portion with modifier TC, or the complete service without either modifier. CMS separately prices the professional and technical components when those modifiers are used.
CMS billing rules for 73060
- 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.
Where the value comes from
- Work RVU0.16 · 17%
- Practice expense (office) RVU0.78 · 81%
- Malpractice RVU0.02 · 2%
320.2K
Medicare services in 2024 · #298 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.
73060 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$29.22
This code is for the humerus, while 73070 is for a two-view elbow examination. Use the elbow code when the elbow is the study target.
$28.89
This code covers the upper-arm bone; 73090 covers the forearm. The imaged region distinguishes the services.
Compare 73060 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
Wyoming** →
Office / nonfacility
$31.89
Facility
Unavailable
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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 73060 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
8,117
- Code
- 73060
- Physician work
- 0.16
- Practice expense
- 0.78
- Malpractice
- 0.02
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.16 | × 1.000 | 0.1600 |
| Practice expense | 0.78 | × 1.000 | 0.7800 |
| Malpractice | 0.02 | × 0.740 | 0.0148 |
| Total RVUs | 0.9548 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$31.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.16 | 1 |
| Practice expense | 0.78 | 1 |
| Malpractice | 0.02 | 0.74 |
(0.16 × 1 + 0.78 × 1 + 0.02 × 0.74) × $33.4009 = $31.89
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.
73060 billing questions
When should this be used instead of a shoulder or elbow X-ray code?
Use this code when the humerus itself is the imaging target. Use a shoulder or elbow code when the examination is directed at that joint rather than the upper-arm bone.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while TC identifies the technical portion, including equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting this service?
The order and imaging record should identify the humerus as the target and document the views obtained. The interpretation should address the findings relevant to the clinical question.
Can the humerus study be reported with shoulder or elbow imaging?
Separate imaging may be reported when the record supports distinct examinations of the humerus and an adjacent joint. The code selection should follow the anatomy actually imaged, not just the location of the patient’s symptoms.
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.
8,11473050,,X-ray exam of shoulders,A,,0.18,0.71,,0.71,NA,0.02,0.91,0.91,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,2.71,2.71,0.05
8,11573050,26,X-ray exam of shoulders,A,,0.18,0.09,,0.09,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,11673050,TC,X-ray exam of shoulders,A,,0.00,0.62,,0.62,NA,0.01,0.63,0.63,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,11773060,,X-ray exam of humerus,A,,0.16,0.78,,0.78,NA,0.02,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
8,11873060,26,X-ray exam of humerus,A,,0.16,0.07,,0.07,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,11973060,TC,X-ray exam of humerus,A,,0.00,0.71,,0.71,NA,0.01,0.72,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,12073070,,X-ray exam of elbow,A,,0.16,0.70,,0.70,NA,0.02,0.88,0.88,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,