# CPT 11981: Insertion Drug Delivery Implant

Medicare CPT 11981 pays $107.55 in a non-facility setting and $54.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $95.20 in Arkansas to $127.06 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/11981-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $107.55 |
| National facility | $54.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $127.06 | $70.86 |
| District of Columbia | $121.64 | $59.47 |
| New York | $119.16 | $60.29 |
| New Jersey | $118.04 | $58.61 |
| California | $117.30 | $54.86 |
| Washington | $116.13 | $55.96 |
| Massachusetts | $115.35 | $56.06 |
| Connecticut | $114.65 | $57.81 |
| Florida | $114.40 | $61.45 |
| Hawaii | $113.29 | $53.29 |
| Illinois | $111.93 | $60.94 |
| Maryland | $111.28 | $56.26 |
| Colorado | $110.52 | $54.37 |
| Rhode Island | $109.59 | $55.08 |
| Oregon | $109.30 | $53.71 |
| New Hampshire | $109.28 | $54.34 |
| Puerto Rico | $108.14 | $54.79 |
| Virgin Islands | $108.14 | $54.79 |
| Montana | $107.54 | $54.76 |
| Pennsylvania | $107.07 | $55.38 |
| Michigan | $106.54 | $56.99 |
| Nevada | $106.44 | $53.62 |
| Delaware | $106.27 | $54.13 |
| Texas | $106.27 | $54.32 |
| Georgia | $106.07 | $55.72 |
| Wyoming | $105.73 | $52.95 |
| Arizona | $104.57 | $53.44 |
| Minnesota | $104.45 | $50.15 |
| Virginia | $104.41 | $52.53 |
| New Mexico | $103.69 | $55.30 |
| Vermont | $103.45 | $51.21 |
| North Dakota | $103.38 | $50.61 |
| Utah | $103.03 | $53.42 |
| South Dakota | $102.89 | $50.12 |
| Louisiana | $102.36 | $54.18 |
| West Virginia | $102.26 | $56.40 |
| Missouri | $102.22 | $53.79 |
| Maine | $102.10 | $51.68 |
| Ohio | $102.09 | $53.90 |
| South Carolina | $101.68 | $52.91 |
| North Carolina | $100.77 | $51.53 |
| Wisconsin | $100.03 | $49.47 |
| Kentucky | $99.91 | $52.99 |
| Indiana | $99.31 | $50.39 |
| Oklahoma | $99.20 | $52.07 |
| Idaho | $98.78 | $50.23 |
| Tennessee | $98.53 | $50.56 |
| Nebraska | $98.30 | $49.59 |
| Kansas | $97.98 | $50.27 |
| Iowa | $97.93 | $49.64 |
| Mississippi | $96.90 | $51.46 |
| Alabama | $96.57 | $50.40 |
| Arkansas | $95.20 | $49.87 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 11981 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
