The numbers listed are based on the 2026 Medicare Reimbursement National Average
| Medicare Reimbursement 2024, National Average | |||||
|---|---|---|---|---|---|
| Clinic Information | |||||
| Clinic Days in a Month |
|
||||
| Patient Mix, CMS % |
%
|
||||
| Patient Mix, Non-CMS % | $0 | ||||
| Private Payer Multiplier | 200% | ||||
| Practice Currently has X-Ray | If Yes, the payback period will be calculated using only dynamic imaging revenue. | ||||
| Static Imaging | |||||
| Code | Description | Procedures Per Clinic Day | Global | Provider-26 | Practice-TC |
| 73000 - 73050 | Shoulder/Clavicle |
|
$29.41 | $8.59 | $20.81 |
| 73060 - 73090 | Elbow/Humerus/Forearm |
|
$31.05 | $6.44 | $22.99 |
| 73100 - 73140 | Wrist/Hand/Fingers |
|
$37.46 | $8.12 | $29.34 |
| 73560 - 73590 | Knee/Tib/Fib |
|
$40.15 | $8.93 | $31.22 |
| 73600 - 73660 | Ankle/Foot |
|
$31.72 | $7.72 | $24.00 |
| 77077 | Joint Survey - Single View |
|
$47.67 | $16.45 | $31.22 |
| Dynamic Imaging | |||||
| Code | Description | Procedures Per Clinic Day | Global | Provider-26 | Practice-TC |
| 76000 | Fluoroscopy - 1 hr provider time |
|
$44.31 | $15.44 | $28.87 |
| 206XX | Injection, unspecified |
|
$56.39 | ||
| 77002 | Needle localization by X-Ray |
|
$121.85 | $27.19 | $94.66 |
| 76120 | DDR Motion Study |
|
$114.13 | $18.80 | $95.33 |
| 73040 | Arthrogram - Shoulder |
|
$135.23 | $26.85 | $108.42 |
| 73085 | Arthrogram - Elbow |
|
$96.67 | $25.18 | $71.50 |
| 73115 | Arthrogram - Wrist |
|
$133.93 | $27.19 | $106.74 |
| 73580 | Arthrogram - Knee |
|
$117.82 | $31.89 | $85.93 |
| 73615 | Arthrogram - Ankle |
|
$133.60 | $28.20 | $105.40 |
| Transportation | |||||
| Code | Description | ||||
| R0070/R0075 | Transportation of X-Ray |
Trips per Month |
|||
| Q0092 | Set up of Portable X-Ray |
Patients per month |
$25.72 | ||
| Projected Revenue | |||||
| Global | Provider-26 | Practice-TC | |||
| MC2 Retail Price | |||||
| Annual Static Study Revenue | $0 | $0 | $0 | ||
| Annual Dynamic Imaging Revenue | $0 | $0 | $0 | ||
| Annual Transportation Revenue | $0 | ||||
| Total Monthly Revenue | $0 | $0 | $0 | ||
| Total Annual Revenue | $0 | $0 | $0 | ||
| Incremental MC2 Revenue | $0 | ||||
| Payback Period
Please fill out the values of Clinic Days in a month and MC2 Retail Price.
|
N/A | ||||
MC2 is US FDA (510(k) K252068) cleared and available in the United States. Products may not be available for sale in all regions and orders will be taken only in the regions where the product is cleared or approved by local regulatory authorities, as required. Rx only. See Instructions for Use for full device indications and a complete list of warnings, precautions, and contraindications. MAR-M02-122, Rev A
THE INFORMATION PROVIDED WITH THIS NOTICE IS GENERAL REIMBURSEMENT INFORMATION ONLY; IT IS NOT LEGAL ADVICE, NOR IS IT ADVICE ABOUT HOW TO CODE, COMPLETE OR SUBMIT ANY PARTICULAR CLAIM FOR PAYMENT. IT IS IS ALWAYS THE PROVIDER’S RESPONSIBILITY TO DETERMINE AND SUBMIT APPROPRIATE CODES, CHARGES, MODIFIERS, AND BILLS FOR THE SERVICES THAT WERE RENDERED. THIS INFORMATION IS PROVIDED AS OF March 2026 AND ALL CODING AND REIMBURSEMENT INFORMATION IS SUBJECT TO CHANGE WITHOUT NOTICE. PAYERS OR THEIR LOCAL BRANCHES MAY HAVE DISTINCT CODING AND REIMBURSEMENT REQUIREMENTS AND POLICIES. BEFORE FILING ANY CLAIMS, PROVIDERS SHOULD VERIFY CURRENT REQUIREMENTS AND POLICIES WITH THE LOCAL PAYER.THIRD-PARTY REIMBURSEMENT AMOUNTS AND COVERAGE POLICIES FOR SPECIFIC PROCEDURES WILL VARY, INCLUDING BY PAYER, TIME PERIOD, AND LOCALITY, AS WELL AS BY TYPE OF PROVIDER ENTITY. THIS DOCUMENT IS NOT INTENDED TO INTERFERE WITH A HEALTHCARE PROFESSIONAL’S INDEPENDENT CLINICAL DECISION-MAKING. OTHER IMPORTANT CONSIDERATIONS SHOULD BE TAKEN INTO ACCOUNT WHEN MAKING DECISIONS, INCLUDING CLINICAL VALUE. THE HEALTH CARE PROVIDER HAS THE RESPONSIBILITY, WHEN BILLING TO GOVERNMENT AND OTHER PAYERS (INCLUDING PATIENTS), TO SUBMIT CLAIMS OR INVOICES FOR PAYMENT ONLY FOR PROCEDURES THAT ARE APPROPRIATE AND MEDICALLY NECESSARY. YOU SHOULD CONSULT WITH YOUR REIMBURSEMENT MANAGER OR HEALTHCARE CONSULTANT, AS WELL AS EXPERIENCED LEGAL COUNSEL.