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Describe a service in plain words, or type a CPT/HCPCS code.

Medicare Physician Fee Schedule · Q3 2026 release

Boston, MA flag

CPT 72131 in Boston, MA

A CT scan of the lower back, covering the lumbar vertebrae and usually the top of the sacrum, taken without contrast dye and rebuilt into side and front views. It gives excellent detail of bone - fractures, slipped vertebrae, arthritic facet joints, narrowing of the canal from bone overgrowth - and is the usual choice when MRI is unavailable or ruled out by a pacemaker or other implant. Contrast versions of the same region exist and are reserved mainly for suspected infection or tumor.

Medicare pays, Office (non-facility) setting, in Boston, MA

$149.42

Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.

Local vs. national amount

Boston, MA (this locality)
$149.42
National (GPCI 1.000 baseline)
$129.93

Boston, MA pays above the national baseline by 15.0%, driven by this locality's GPCIs.

ZIP codes in this locality

This payment locality covers 258 ZIP codes, including 01431, 01432, 01434, 01450, 01460, 01463, 01464, 01469, 01470, 01471, 01472, 01474 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.

Full rate calculator CPT 72131 national page Boston, MA locality page