CPT 19303

Mastectomy Simple Complete

CPT 19303 pays $915.85 in a non-facility setting and $915.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $812.53 in Arkansas to $1,123.57 in Alaska, a 38% spread.

National non-facility rate

$915.85

Office and other outpatient settings

Facility rate
$915.85

Hospital and ASC settings

Highest state
$1,123.57

Alaska

Lowest state
$812.53

Arkansas · 38% 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 $915.85
CPT 19303 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $915.85, national facility $915.85.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,123.57$1,123.57
Florida
$1,035.43$1,035.43
Illinois
$1,021.48$1,021.48
New York
$1,018.96$1,018.96
District of Columbia
$1,010.14$1,010.14
New Jersey
$989.40$989.40
Connecticut
$975.18$975.18
Michigan
$948.47$948.47
Massachusetts
$947.47$947.47
Washington
$947.09$947.09
Maryland
$944.74$944.74
California
$931.38$931.38
West Virginia
$930.28$930.28
Georgia
$927.31$927.31
Pennsylvania
$922.70$922.70
Rhode Island
$921.57$921.57
Puerto Rico
$917.30$917.30
Virgin Islands
$917.30$917.30
New Mexico
$915.97$915.97
Montana
$915.60$915.60
Colorado
$913.61$913.61
New Hampshire
$912.58$912.58
Texas
$904.95$904.95
Hawaii
$904.49$904.49
Delaware
$902.02$902.02
Oregon
$901.28$901.28
Louisiana
$895.47$895.47
Nevada
$895.24$895.24
Ohio
$890.59$890.59
Missouri
$889.03$889.03
Arizona
$888.46$888.46
Utah
$884.96$884.96
Wyoming
$883.29$883.29
South Carolina
$874.12$874.12
Virginia
$873.90$873.90
Kentucky
$871.69$871.69
Maine
$855.63$855.63
Oklahoma
$855.61$855.61
Vermont
$850.96$850.96
North Carolina
$850.41$850.41
North Dakota
$841.45$841.45
Mississippi
$841.19$841.19
Minnesota
$836.43$836.43
South Dakota
$832.68$832.68
Tennessee
$830.38$830.38
Indiana
$829.43$829.43
Idaho
$825.69$825.69
Kansas
$824.74$824.74
Alabama
$823.75$823.75
Wisconsin
$816.50$816.50
Nebraska
$814.70$814.70
Iowa
$814.66$814.66
Arkansas
$812.53$812.53

Billed by 1 specialties

Commercial rates for 19303

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

See negotiated rates