# CPT 19281: Perq Device Placement Breast Loc 1st Les W/gdnce

Medicare CPT 19281 pays $234.81 in a non-facility setting and $83.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $208.70 in Arkansas to $275.14 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/19281-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $234.81 |
| National facility | $83.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $275.14 | $113.64 |
| District of Columbia | $268.12 | $89.48 |
| California | $264.17 | $84.74 |
| New Jersey | $259.27 | $88.51 |
| New York | $259.06 | $89.89 |
| Washington | $258.39 | $85.52 |
| Massachusetts | $255.85 | $85.48 |
| Hawaii | $254.51 | $82.10 |
| Connecticut | $250.02 | $86.70 |
| Colorado | $244.65 | $83.31 |
| Maryland | $243.09 | $85.01 |
| Oregon | $242.32 | $82.56 |
| Florida | $241.36 | $89.22 |
| Rhode Island | $240.75 | $84.11 |
| New Hampshire | $240.71 | $82.85 |
| Puerto Rico | $236.51 | $83.20 |
| Virgin Islands | $236.51 | $83.20 |
| Illinois | $235.30 | $88.78 |
| Minnesota | $235.08 | $79.04 |
| Montana | $234.80 | $83.16 |
| Nevada | $233.91 | $82.12 |
| Wyoming | $233.16 | $81.52 |
| Delaware | $232.53 | $82.71 |
| Pennsylvania | $232.49 | $83.95 |
| Texas | $232.18 | $82.90 |
| North Dakota | $231.04 | $79.40 |
| South Dakota | $230.59 | $78.95 |
| Virginia | $230.17 | $81.10 |
| Vermont | $230.04 | $79.92 |
| Arizona | $228.83 | $81.89 |
| Georgia | $228.64 | $83.98 |
| Michigan | $227.44 | $85.04 |
| Maine | $225.17 | $80.28 |
| Utah | $224.36 | $81.82 |
| Wisconsin | $223.56 | $78.29 |
| New Mexico | $222.53 | $83.47 |
| North Carolina | $221.57 | $80.09 |
| South Carolina | $221.44 | $81.33 |
| Missouri | $221.26 | $82.11 |
| Louisiana | $220.90 | $82.45 |
| Ohio | $220.65 | $82.20 |
| Indiana | $219.62 | $79.05 |
| Idaho | $218.40 | $78.89 |
| Nebraska | $218.28 | $78.32 |
| Iowa | $217.10 | $78.35 |
| Tennessee | $217.01 | $79.17 |
| West Virginia | $216.15 | $84.37 |
| Kentucky | $216.14 | $81.33 |
| Kansas | $215.98 | $78.90 |
| Oklahoma | $215.92 | $80.50 |
| Alabama | $211.64 | $78.95 |
| Mississippi | $210.45 | $79.89 |
| Arkansas | $208.70 | $78.44 |

## 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 19281 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