# CPT 99454: Rem Mntr Physiol Param 1st Dev Supply Ea 30 D

Medicare CPT 99454 pays $52.11 in a non-facility setting and $52.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $44.64 in Arkansas to $61.44 in California, a 38% spread.

Web page: https://www.med-reveal.com/rates/99454-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $52.11 |
| National facility | $52.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $61.44 | $61.44 |
| District of Columbia | $61.36 | $61.36 |
| Washington | $59.29 | $59.29 |
| Hawaii | $59.06 | $59.06 |
| New Jersey | $58.66 | $58.66 |
| Massachusetts | $58.45 | $58.45 |
| New York | $58.21 | $58.21 |
| Connecticut | $56.16 | $56.16 |
| Colorado | $55.35 | $55.35 |
| Alaska | $55.32 | $55.32 |
| Oregon | $54.79 | $54.79 |
| Maryland | $54.33 | $54.33 |
| New Hampshire | $54.19 | $54.19 |
| Rhode Island | $53.78 | $53.78 |
| Minnesota | $53.37 | $53.37 |
| Puerto Rico | $52.67 | $52.67 |
| Virgin Islands | $52.67 | $52.67 |
| Florida | $52.60 | $52.60 |
| Montana | $52.10 | $52.10 |
| Nevada | $52.10 | $52.10 |
| Wyoming | $52.02 | $52.02 |
| North Dakota | $51.91 | $51.91 |
| South Dakota | $51.88 | $51.88 |
| Delaware | $51.45 | $51.45 |
| Vermont | $51.42 | $51.42 |
| Texas | $51.28 | $51.28 |
| Virginia | $51.13 | $51.13 |
| Pennsylvania | $51.07 | $51.07 |
| Illinois | $50.66 | $50.66 |
| Arizona | $50.45 | $50.45 |
| Georgia | $49.79 | $49.79 |
| Wisconsin | $49.70 | $49.70 |
| Maine | $49.68 | $49.68 |
| Michigan | $49.08 | $49.08 |
| Utah | $48.97 | $48.97 |
| North Carolina | $48.52 | $48.52 |
| Indiana | $48.15 | $48.15 |
| South Carolina | $48.12 | $48.12 |
| Nebraska | $47.91 | $47.91 |
| New Mexico | $47.88 | $47.88 |
| Missouri | $47.84 | $47.84 |
| Idaho | $47.79 | $47.79 |
| Louisiana | $47.62 | $47.62 |
| Ohio | $47.60 | $47.60 |
| Iowa | $47.50 | $47.50 |
| Tennessee | $47.24 | $47.24 |
| Kansas | $46.97 | $46.97 |
| Oklahoma | $46.49 | $46.49 |
| Kentucky | $46.33 | $46.33 |
| Alabama | $45.49 | $45.49 |
| West Virginia | $45.47 | $45.47 |
| Mississippi | $44.82 | $44.82 |
| Arkansas | $44.64 | $44.64 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99454 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules