{"headline":"How does Medicare’s allowed amount for one code vary across the US? Answered with 3 localities; see data.","data":{"code":"70551","modifier":null,"code_type":"CPT","description":null,"status":"A","priced":true,"release":{"id":"2026D","effective_from":"2026-10-01","effective_to":null},"national":{"nonfacility":"195.40","facility":"195.40"},"summary":{"localities":5,"nonfacility":{"min":"187.21","max":"228.54"},"facility":{"min":"187.21","max":"228.54"}},"localities":[{"id":"13202-01","state":"NY","name":"MANHATTAN","nonfacility":"223.75","facility":"223.75","opps_capped":false},{"id":"13202-02","state":"NY","name":"NYC SUBURBS/LONG ISLAND","nonfacility":"228.54","facility":"228.54","opps_capped":false},{"id":"13202-03","state":"NY","name":"POUGHKPSIE/N NYC SUBURBS","nonfacility":"211.94","facility":"211.94","opps_capped":false}]},"sources":[{"url":"https://www.cms.gov/files/zip/rvu26d-updated-08-26-2026.zip","fetched_at":"2026-10-21T05:51:32.563Z","sha256":"521ff0f4ecbf13b5d99dc1dc04d9f82e5361e55c6b4b6b3033043598bf8406e6","publisher":"Centers for Medicare & Medicaid Services","license":"US government work (CMS), public; CPT codes only, without AMA descriptors (D-010)"}],"as_of":"2026-10-21T15:25:15.999Z","confidence":1,"method_version":"medicare.pfs_localities@1.0.0","price_paid":null,"notices":["Medicare Physician Fee Schedule amounts computed from CMS’s published RVU, GPCI and conversion-factor files: what Original Medicare allows a participating clinician (before deductible and coinsurance), not what another payer pays; not a quote, not medical, billing or coding advice. See /terms.","CPT® codes are served as codes only: their descriptors are AMA copyright and are never included (nor dental CDT descriptors). CPT is a registered trademark of the American Medical Association. HCPCS Level II descriptions are CMS’s.","Free tier: the first 3 of 5 localities (the summary covers them all).","Free tier answer capped at 3 rows: 2 of 3 free answers left today (UTC) for the medicare routes. Pay per call for more."],"view":"summary","request_id":"c3181dab-0306-4cd0-9573-0c13c9c1ce60"}