CPT 13132

Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm

CPT 13132 pays $462.27 in a non-facility setting and $251.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $413.18 in Arkansas to $551.27 in Alaska, a 33% spread.

National non-facility rate

$462.27

Office and other outpatient settings

Facility rate
$251.17

Hospital and ASC settings

Highest state
$551.27

Alaska

Lowest state
$413.18

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 $462.27
CPT 13132 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $462.27, national facility $251.17.
StateRate compared visuallyNon-facilityFacility
Alaska
$551.27$326.45
District of Columbia
$524.14$275.48
California
$513.12$263.34
New York
$509.25$273.75
New Jersey
$508.18$270.49
Washington
$504.12$263.47
Massachusetts
$499.80$262.64
Hawaii
$494.77$254.76
Connecticut
$491.26$263.91
Florida
$479.36$267.56
Colorado
$478.94$254.34
Maryland
$477.92$257.85
Oregon
$474.30$251.91
Rhode Island
$472.94$254.88
New Hampshire
$472.01$252.26
Illinois
$468.56$264.59
Puerto Rico
$465.20$251.78
Virgin Islands
$465.20$251.78
Montana
$462.23$251.14
Nevada
$459.71$248.41
Pennsylvania
$458.91$252.14
Minnesota
$458.67$241.46
Delaware
$457.85$249.29
Wyoming
$457.84$246.75
Texas
$457.42$249.60
Georgia
$452.53$251.14
Virginia
$452.34$244.83
North Dakota
$452.15$241.06
Michigan
$451.55$253.33
South Dakota
$450.96$239.86
Vermont
$450.96$241.97
Arizona
$450.84$246.29
Utah
$443.16$244.73
Maine
$443.02$241.32
New Mexico
$441.66$248.08
Wisconsin
$438.32$236.09
Missouri
$438.16$244.45
Louisiana
$437.88$245.15
South Carolina
$437.70$242.65
Ohio
$437.21$244.48
North Carolina
$436.72$239.77
Indiana
$432.37$236.69
West Virginia
$431.67$248.23
Idaho
$430.12$235.92
Nebraska
$429.37$234.54
Kentucky
$428.68$241.01
Tennessee
$428.03$236.15
Oklahoma
$427.48$238.98
Iowa
$427.38$234.23
Kansas
$426.02$235.19
Alabama
$418.68$233.97
Mississippi
$417.57$235.82
Arkansas
$413.18$231.85

Billed by 1 specialties

Commercial rates for 13132

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

See negotiated rates