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Medicare Physician Fee Schedule · Q3 2026 release

CPT 64483 in Wichita, KS 05202-00

Lumbar or sacral transforaminal epidural injection in ZIPs including 67202, 66603, and 66211

64483 2026 C · Wichita, KS flag05202-00 A Active
Allowed amount
$243.10
in a doctor’s own office or clinic

91.8% of the $264.87 national baseline

Medicare payment
$194.48
Patient / secondary
$48.62
Expected total to provider
$243.10

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 Wichita, KS? Copy link

The Medicare allowed amount is $243.10 in the office (non-facility) setting and $93.64 in a facility, under the Q3 2026 Physician Fee Schedule. The office amount is 8.2% below the national baseline, and the facility amount is 5.9% 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 Wichita, KS in? Copy link

CMS prices all of Kansas as one Medicare payment locality, so this amount applies statewide, including Overland Park, Kansas City (KS) and Topeka — not only in Wichita, KS.

Why Wichita, KS differs from the national amount Copy link

Wichita, KS (this locality)
$243.10
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 Wichita, KS at 8.2% below the national baseline.

Work GPCI
1.000
Practice expense GPCI
0.904
Malpractice GPCI
0.504
2026 conversion factor
$33.4009

Formula and inputs Copy link

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

RVU and GPCI components of the Wichita, KS allowed amount for 64483
Component RVU × GPCI = Adjusted RVU
Work 1.85 1.000 1.8500
Practice expense 5.91 0.904 5.3426
Malpractice 0.17 0.504 0.0857
Sum of adjusted RVUs 7.2783
× $33.4009 2026 conversion factor $243.10

Facility vs. Office (non-facility) Copy link

In a facility (hospital outpatient or ASC), Wichita, KS allows $93.64 for 64483, versus $243.10 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 Wichita, KS. 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 Wichita, KS
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full. $243.10
Non-participating allowed amount 95% of the participating amount. $230.95
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount. $265.59
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met. $194.48
Beneficiary coinsurance The remaining 20%. $48.62
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share. $3.89
Medicare pays after sequestration Program payment net of the sequestration reduction. $190.59

Contracted rate: % of Medicare in Wichita, KS 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 — $243.10 in the office (non-facility) setting — not the $264.87 national baseline.

Opens the calculator already set to Wichita, KS 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 Wichita, KS rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 775 ZIP codes to this payment locality, across EK, WK. 64483 prices identically in every one of them.

66002 66006 66007 66008 66010 66012 66013 66014 66015 66016 66017 66018 66019 66020 66021 66023 66024 66025 66026 66027 66030 66031 66032 66033 66035 66036 66039 66040 66041 66042 66043 66044 66045 66046 66047 66048 66049 66050 66051 66052 66053 66054 66056 66058 66060 66061 66062 66063 66064 66066 66067 66070 66071 66072 66073 66075 66076 66077 66078 66079 66080 66083 66085 66086 66087 66088 66090 66091 66092 66093 66094 66095 66097 66101 66102 66103 66104 66105 66106 66109 66110 66111 66112 66113 66115 66117 66118 66119 66160 66201 66202 66203 66204 66205 66206 66207 66208 66209 66210 66211

675 more ZIP codes map to this locality. The Wichita, KS 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 Wichita, KS, 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 Wichita, KS
Metro Allowed amount vs. Wichita, KS
Oklahoma City, OK $242.48 -0.3%
Kansas City, MO $252.70 +3.9%
Omaha, NE $246.14 +1.3%
Denver, CO $277.00 +13.9%
Dallas, TX $263.83 +8.5%
Des Moines, IA $244.67 +0.6%

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

Other codes priced in Wichita, KS Copy link

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

Other curated codes and their allowed amounts in Wichita, KS
Code Service Wichita, KS vs. national
20610 Major Joint Injection or Aspiration $62.93 -8.5%
96372 Therapeutic Injection Administration $14.30 -6.9%
62323 Lumbar or Sacral Epidural Injection $250.36 -8.4%
20605 Injections and pain management $52.68 -7.8%
20600 Injections and pain management $51.71 -7.8%
99213 Routine Follow-Up Office Visit $89.02 -6.5%
99214 Long Follow-Up Office Visit $126.88 -6.4%
66984 Cataract Surgery $433.97 -6.2%
92014 Full Eye Exam, Returning Patient $119.06 -6.4%
99204 Long New Patient Office Visit $165.46 -6.7%
99212 Brief Follow-Up Office Visit $55.19 -7.2%
99215 Longest Follow-Up Office Visit $180.09 -6.4%

Common questions Copy link

Which ZIP codes does the Wichita, KS rate for 64483 cover?
The CMS ZIP-to-locality crosswalk maps 775 ZIP codes to this payment locality, and every one of them prices 64483 identically. Examples include 66002, 66006, 66007, 66008, 66010, 66012. The locality spans EK, WK.
Why is the 64483 rate in Wichita, KS 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 0.904, malpractice 0.504 — scale each RVU component before the conversion factor is applied, which is why Wichita, KS allows less than the $264.87 baseline.
Does this 64483 rate apply everywhere in Kansas?
Yes. CMS prices Kansas as a single Medicare payment locality, so the same GPCIs — and the same allowed amount — apply statewide, not only in Wichita, KS. That includes Overland Park, Kansas City (KS) and Topeka. 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 Wichita, KS?
$93.64 in a facility, versus $243.10 in the office (non-facility) setting — a $149.46 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 Wichita, KS?
A non-participating provider is paid $230.95 — 95% of the $243.10 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $265.59, which is 115% of the non-participating amount.
How much of the Wichita, KS 64483 rate does Medicare actually pay?
Medicare pays 80% of the allowed amount ($194.48) once the annual Part B deductible is met, and the beneficiary owes 20% ($48.62). Sequestration reduces Medicare's share by about 2% ($3.89), leaving $190.59. 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 05202-00'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 54)
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 Wichita, KS against the release that governed that date. Past releases need a free account; today's rate does not.

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