# CPT 19125: Exc Breast Les Preop Plmt Rad Marker Open 1 Les

Medicare CPT 19125 pays $634.95 in a non-facility setting and $452.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $556.83 in Arkansas to $742.11 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/19125-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $634.95 |
| National facility | $452.58 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $742.11 | $547.89 |
| District of Columbia | $717.32 | $502.49 |
| New York | $707.19 | $503.74 |
| New Jersey | $696.29 | $490.95 |
| Florida | $689.27 | $506.30 |
| California | $683.25 | $467.45 |
| Washington | $680.52 | $472.62 |
| Connecticut | $678.89 | $482.48 |
| Massachusetts | $676.96 | $472.08 |
| Illinois | $674.65 | $498.44 |
| Hawaii | $660.79 | $453.44 |
| Maryland | $657.48 | $467.36 |
| Colorado | $648.38 | $454.34 |
| Rhode Island | $644.94 | $456.56 |
| New Hampshire | $642.74 | $452.89 |
| Oregon | $640.50 | $448.37 |
| Puerto Rico | $638.08 | $453.71 |
| Virgin Islands | $638.08 | $453.71 |
| Michigan | $635.79 | $464.54 |
| Montana | $634.84 | $452.47 |
| Pennsylvania | $633.38 | $454.75 |
| Georgia | $629.69 | $455.72 |
| Texas | $626.56 | $447.02 |
| Delaware | $626.04 | $445.86 |
| Nevada | $625.94 | $443.39 |
| Wyoming | $620.36 | $437.99 |
| New Mexico | $616.26 | $449.03 |
| Arizona | $615.68 | $438.96 |
| Virginia | $612.32 | $433.05 |
| West Virginia | $611.84 | $453.36 |
| Utah | $607.56 | $436.14 |
| Louisiana | $606.17 | $439.68 |
| Minnesota | $605.92 | $418.26 |
| Missouri | $604.35 | $436.99 |
| Ohio | $603.99 | $437.48 |
| Vermont | $603.62 | $423.08 |
| North Dakota | $601.62 | $419.25 |
| South Carolina | $599.09 | $430.58 |
| Maine | $597.93 | $423.67 |
| South Dakota | $597.69 | $415.32 |
| North Carolina | $590.50 | $420.35 |
| Kentucky | $590.10 | $427.98 |
| Oklahoma | $583.80 | $420.95 |
| Wisconsin | $580.96 | $406.25 |
| Indiana | $579.75 | $410.70 |
| Idaho | $576.49 | $408.71 |
| Tennessee | $576.11 | $410.34 |
| Kansas | $572.46 | $407.60 |
| Nebraska | $572.25 | $403.92 |
| Iowa | $570.42 | $403.56 |
| Mississippi | $570.12 | $413.10 |
| Alabama | $565.46 | $405.89 |
| Arkansas | $556.83 | $400.17 |

## 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 19125 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