# CPT 11970: Replacement of tissue expander with permanent implant

Medicare CPT 11970 pays $517.38 in a non-facility setting and $517.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $463.30 in Arkansas to $633.90 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/11970-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $517.38 |
| National facility | $517.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $633.90 | $633.90 |
| District of Columbia | $576.31 | $576.31 |
| New York | $571.56 | $571.56 |
| New Jersey | $562.44 | $562.44 |
| Florida | $560.83 | $560.83 |
| Illinois | $551.60 | $551.60 |
| Connecticut | $549.32 | $549.32 |
| Washington | $547.53 | $547.53 |
| California | $547.35 | $547.35 |
| Massachusetts | $545.49 | $545.49 |
| Maryland | $533.76 | $533.76 |
| Hawaii | $529.70 | $529.70 |
| Colorado | $525.05 | $525.05 |
| Rhode Island | $524.68 | $524.68 |
| Michigan | $521.82 | $521.82 |
| New Hampshire | $521.11 | $521.11 |
| Puerto Rico | $519.22 | $519.22 |
| Virgin Islands | $519.22 | $519.22 |
| Oregon | $519.09 | $519.09 |
| Pennsylvania | $518.01 | $518.01 |
| Montana | $517.29 | $517.29 |
| Georgia | $516.10 | $516.10 |
| Texas | $511.97 | $511.97 |
| Delaware | $511.30 | $511.30 |
| Nevada | $510.08 | $510.08 |
| New Mexico | $507.48 | $507.48 |
| West Virginia | $506.89 | $506.89 |
| Wyoming | $505.66 | $505.66 |
| Arizona | $503.80 | $503.80 |
| Virginia | $500.24 | $500.24 |
| Louisiana | $499.62 | $499.62 |
| Utah | $499.07 | $499.07 |
| Missouri | $497.86 | $497.86 |
| Ohio | $497.86 | $497.86 |
| South Carolina | $493.25 | $493.25 |
| Vermont | $492.82 | $492.82 |
| Minnesota | $492.26 | $492.26 |
| North Dakota | $490.60 | $490.60 |
| Maine | $490.38 | $490.38 |
| Kentucky | $488.19 | $488.19 |
| South Dakota | $487.44 | $487.44 |
| North Carolina | $485.80 | $485.80 |
| Oklahoma | $482.88 | $482.88 |
| Indiana | $477.53 | $477.53 |
| Wisconsin | $476.58 | $476.58 |
| Tennessee | $475.71 | $475.71 |
| Idaho | $475.34 | $475.34 |
| Mississippi | $473.85 | $473.85 |
| Kansas | $473.08 | $473.08 |
| Nebraska | $471.74 | $471.74 |
| Iowa | $470.77 | $470.77 |
| Alabama | $469.25 | $469.25 |
| Arkansas | $463.30 | $463.30 |

## Related codes

- 10060: Incision and drainage of abscess, simple — https://www.med-reveal.com/rates/10060-cpt-fee-schedule
- 10061: Incision and drainage of abscess, complicated — https://www.med-reveal.com/rates/10061-cpt-fee-schedule
- 10120: Incision and removal of foreign body, subcutaneous, simple — https://www.med-reveal.com/rates/10120-cpt-fee-schedule
- 10121: Incision and removal of foreign body, subcutaneous, complicated — https://www.med-reveal.com/rates/10121-cpt-fee-schedule
- 11000: Debridement of extensive eczematous or infected skin, first 10% of body surface — https://www.med-reveal.com/rates/11000-cpt-fee-schedule
- 11042: Debridement, subcutaneous tissue, first 20 sq cm or less — https://www.med-reveal.com/rates/11042-cpt-fee-schedule
- 11043: Debridement, muscle and/or fascia, first 20 sq cm or less — https://www.med-reveal.com/rates/11043-cpt-fee-schedule
- 11044: Debridement, bone, first 20 sq cm or less — https://www.med-reveal.com/rates/11044-cpt-fee-schedule

Commercial negotiated rates for 11970 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