CPT 99479 Evaluation & Management
Sbsq ic lbw inf 1,500-2,500 Cost
Body System: General
Medicare Facility Rate
$105
CMS PFS CY2026
Medicare Non-Facility Rate
$105
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.50
Work RVU
0.50
Facility PE RVU
0.15
Malpractice RVU
3.15
Total RVU
Frequently Asked Questions
How much does Sbsq ic lbw inf 1,500-2,500 cost?
The Medicare facility rate is $105. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Sbsq ic lbw inf 1,500-2,500 cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $105.