CPT 11720

Debridement Nail Any Method 1-5

CPT 11720 pays $32.73 in a non-facility setting and $12.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.23 in Arkansas to $38.85 in Alaska, a 33% spread.

National non-facility rate

$32.73

Office and other outpatient settings

Facility rate
$12.69

Hospital and ASC settings

Highest state
$38.85

Alaska

Lowest state
$29.23

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $32.73
CPT 11720 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $32.73, national facility $12.69.
StateRate compared visuallyNon-facilityFacility
Alaska
$38.85$17.51
District of Columbia
$37.21$13.60
California
$36.56$12.85
New York
$36.06$13.70
New Jersey
$36.04$13.48
Washington
$35.84$12.99
Massachusetts
$35.51$13.00
Hawaii
$35.24$12.45
Connecticut
$34.80$13.21
Colorado
$34.01$12.68
Maryland
$33.85$12.96
Florida
$33.75$13.65
Oregon
$33.68$12.57
Rhode Island
$33.53$12.82
New Hampshire
$33.48$12.62
Illinois
$32.96$13.60
Puerto Rico
$32.95$12.69
Virgin Islands
$32.95$12.69
Montana
$32.73$12.69
Minnesota
$32.65$12.03
Nevada
$32.59$12.53
Wyoming
$32.47$12.43
Pennsylvania
$32.46$12.83
Delaware
$32.43$12.63
Texas
$32.39$12.66
North Dakota
$32.14$12.10
South Dakota
$32.07$12.03
Virginia
$32.07$12.38
Vermont
$32.02$12.18
Georgia
$31.96$12.84
Arizona
$31.93$12.51
Michigan
$31.84$13.02
Maine
$31.41$12.26
Utah
$31.35$12.51
New Mexico
$31.16$12.78
Wisconsin
$31.14$11.94
Missouri
$30.96$12.57
South Carolina
$30.96$12.44
North Carolina
$30.94$12.24
Louisiana
$30.92$12.62
Ohio
$30.88$12.58
Indiana
$30.66$12.08
Idaho
$30.49$12.06
Nebraska
$30.46$11.97
West Virginia
$30.36$12.95
Tennessee
$30.32$12.11
Iowa
$30.31$11.97
Kentucky
$30.27$12.46
Oklahoma
$30.22$12.33
Kansas
$30.18$12.07
Alabama
$29.63$12.09
Mississippi
$29.50$12.25
Arkansas
$29.23$12.02

Billed by 1 specialties

Commercial rates for 11720

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates