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Medicare Physician Fee Schedule · Q3 2026 release

CPT 64483 in Des Moines, IA 05102-00

Lumbar or sacral transforaminal epidural injection in ZIPs including 50309, 52401, and 52240

64483 2026 C · Des Moines, IA flag05102-00 A Active
Allowed amount
$244.67
in a doctor’s own office or clinic

92.4% of the $264.87 national baseline

Medicare payment
$195.74
Patient / secondary
$48.93
Expected total to provider
$244.67

Patient / secondary and expected total to provider assume the Part B annual deductible is already met. If it isn't, the patient owes more than the amount shown here.

Locality-adjusted Physician Fee Schedule pricing

How much does Medicare allow for CPT 64483 in Des Moines, IA? Copy link

The Medicare allowed amount is $244.67 in the office (non-facility) setting and $93.39 in a facility, under the Q3 2026 Physician Fee Schedule. The office amount is 7.6% below the national baseline, and the facility amount is 6.2% below the national baseline. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied — not necessarily what a specific claim pays.

What Medicare locality is Des Moines, IA in? Copy link

CMS prices all of Iowa as one Medicare payment locality, so this amount applies statewide, including Cedar Rapids, Davenport and Iowa City — not only in Des Moines, IA.

Why Des Moines, IA differs from the national amount Copy link

Des Moines, IA (this locality)
$244.67
National PFS baseline (GPCI 1.000)
$264.87

The national figure is a baseline, not an amount any provider is paid. This locality's geographic practice cost indices scale each RVU component before the conversion factor is applied, which puts Des Moines, IA at 7.6% below the national baseline.

Work GPCI
1.000
Practice expense GPCI
0.915
Malpractice GPCI
0.397
2026 conversion factor
$33.4009

Formula and inputs Copy link

The office (non-facility) amount for 64483 in Des Moines, IA: each component's RVU times its GPCI, summed, then multiplied by the conversion factor.

RVU and GPCI components of the Des Moines, IA allowed amount for 64483
Component RVU × GPCI = Adjusted RVU
Work 1.85 1.000 1.8500
Practice expense 5.91 0.915 5.4077
Malpractice 0.17 0.397 0.0675
Sum of adjusted RVUs 7.3251
× $33.4009 2026 conversion factor $244.67

Facility vs. Office (non-facility) Copy link

In a facility (hospital outpatient or ASC), Des Moines, IA allows $93.39 for 64483, versus $244.67 in the office. Only the practice-expense RVU changes with the setting. In a facility, the hospital bills its own fee, so the professional payment is lower. Which setting applies to your place of service.

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Des Moines, IA. The allowed amount is not the program payment — the rows below separate them. See how the limiting charge and sequestration are derived.

Participation and payment-split amounts for 64483 in Des Moines, IA
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full. $244.67
Non-participating allowed amount 95% of the participating amount. $232.44
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount. $267.31
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met. $195.74
Beneficiary coinsurance The remaining 20%. $48.93
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share. $3.91
Medicare pays after sequestration Program payment net of the sequestration reduction. $191.83

Contracted rate: % of Medicare in Des Moines, IA Copy link

Commercial contracts are usually written as a percentage of the Medicare fee schedule. Which Medicare amount they mean is the part that gets misread: a contract benchmarked to the fee schedule prices off this locality's allowed amount — $244.67 in the office (non-facility) setting — not the $264.87 national baseline.

Opens the calculator already set to Des Moines, IA and the office (non-facility) setting. It also compares what a payer actually paid against the expected amount. See how to find your contract's actual percentage.

ZIP codes this Des Moines, IA rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 1,080 ZIP codes to this payment locality. 64483 prices identically in every one of them. 3 of them span more than one locality and need ZIP+4 for an exact match.

50001 50002 50003 50005 50006 50007 50008 50009 50010 50011 50012 50013 50014 50015 50020 50021 50022 50023 50025 50026 50027 50028 50029 50031 50032 50033 50034 50035 50036 50037 50038 50039 50040 50041 50042 50043 50044 50046 50047 50048 50049 50050 50051 50052 50054 50055 50056 50057 50058 50059 50060 50061 50062 50063 50064 50065 50066 50067 50068 50069 50070 50071 50072 50073 50074 50075 50076 50078 50099 50101 50102 50103 50104 50105 50106 50107 50108 50109 50110 50111 50112 50115 50116 50117 50118 50119 50120 50122 50123 50124 50125 50126 50127 50128 50129 50130 50131 50132 50133 50134

980 more ZIP codes map to this locality. The Des Moines, IA locality page lists the full set.

Resolves the ZIP to its payment locality, so you can confirm whether this amount applies.

64483 in nearby payment localities Copy link

Payment localities in the same region as Des Moines, IA, nearest first. Each amount is that locality's own GPCI-adjusted office (non-facility) figure for 64483. Proximity doesn't imply similar pricing — neighbouring localities often differ.

64483 allowed amount in payment localities near Des Moines, IA
Metro Allowed amount vs. Des Moines, IA
Omaha, NE $246.14 +0.6%
Minneapolis, MN $266.60 +9.0%
Kansas City, MO $252.70 +3.3%
Chicago, IL $273.64 +11.8%
Milwaukee, WI $252.65 +3.3%
St. Louis, MO $255.41 +4.4%

Every payment locality nationwide is on the CPT 64483 rate map.

Other codes priced in Des Moines, IA Copy link

Office (non-facility) allowed amounts in this same payment locality, Q3 2026.

Other curated codes and their allowed amounts in Des Moines, IA
Code Service Des Moines, IA vs. national
20610 Major Joint Injection or Aspiration $62.89 -8.6%
96372 Therapeutic Injection Administration $14.37 -6.4%
62323 Lumbar or Sacral Epidural Injection $252.05 -7.7%
20605 Injections and pain management $52.75 -7.7%
20600 Injections and pain management $51.78 -7.7%
99213 Routine Follow-Up Office Visit $89.23 -6.3%
99214 Long Follow-Up Office Visit $127.11 -6.3%
66984 Cataract Surgery $434.29 -6.1%
92014 Full Eye Exam, Returning Patient $119.78 -5.9%
99204 Long New Patient Office Visit $165.51 -6.7%
99212 Brief Follow-Up Office Visit $55.35 -6.9%
99215 Longest Follow-Up Office Visit $180.35 -6.3%

Common questions Copy link

Which ZIP codes does the Des Moines, IA rate for 64483 cover?
The CMS ZIP-to-locality crosswalk maps 1,080 ZIP codes to this payment locality, and every one of them prices 64483 identically. Examples include 50001, 50002, 50003, 50005, 50006, 50007. 3 of them span more than one payment locality, so those need ZIP+4 for an exact match.
Why is the 64483 rate in Des Moines, IA different from the national amount?
The national figure is a GPCI 1.000 baseline, not an amount any provider is paid. This locality's geographic practice cost indices — work 1.000, practice expense 0.915, malpractice 0.397 — scale each RVU component before the conversion factor is applied, which is why Des Moines, IA allows less than the $264.87 baseline.
Does this 64483 rate apply everywhere in Iowa?
Yes. CMS prices Iowa as a single Medicare payment locality, so the same GPCIs — and the same allowed amount — apply statewide, not only in Des Moines, IA. That includes Cedar Rapids, Davenport and Iowa City. The city name here is a search-facing label for a statewide payment locality, not a city-specific rate.
What is the facility rate for 64483 in Des Moines, IA?
$93.39 in a facility, versus $244.67 in the office (non-facility) setting — a $151.28 difference. Only the practice-expense RVU changes with the setting: in an office the practice carries the overhead, so the professional payment is higher; in a hospital or ASC the facility bills its own fee.
What is the non-participating amount and limiting charge for 64483 in Des Moines, IA?
A non-participating provider is paid $232.44 — 95% of the $244.67 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $267.31, which is 115% of the non-participating amount.
How much of the Des Moines, IA 64483 rate does Medicare actually pay?
Medicare pays 80% of the allowed amount ($195.74) once the annual Part B deductible is met, and the beneficiary owes 20% ($48.93). Sequestration reduces Medicare's share by about 2% ($3.91), leaving $191.83. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q3 2026 release : this code's RVUs from the relative value file, multiplied by payment locality 05102-00's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q3 2026 release . Releases are immutable: an amount retrieved for a past quarter always reflects that PFS release. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 7,068)
Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv row 53)
ZIP code to carrier locality crosswalk (Q3 2026) · zip-code-carrier-locality-file-updated-05-13-2026.zip (ZIP5_JUL2026.txt)

Working a claim with an earlier date of service? The calculator prices 64483 in Des Moines, IA against the release that governed that date. The last 12 months price without an account; older dates of service need a free account.

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