# CPT 19340: Immediate insertion of breast prosthesis following mastopexy/mastectomy

Medicare CPT 19340 pays $701.08 in a non-facility setting and $701.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $627.27 in Arkansas to $860.64 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/19340-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $701.08 |
| National facility | $701.08 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $860.64 | $860.64 |
| District of Columbia | $779.19 | $779.19 |
| New York | $775.23 | $775.23 |
| Florida | $765.61 | $765.61 |
| New Jersey | $761.07 | $761.07 |
| Illinois | $753.57 | $753.57 |
| Connecticut | $744.54 | $744.54 |
| Washington | $738.64 | $738.64 |
| Massachusetts | $736.45 | $736.45 |
| California | $736.22 | $736.22 |
| Maryland | $723.16 | $723.16 |
| Hawaii | $712.91 | $712.91 |
| Michigan | $710.60 | $710.60 |
| Rhode Island | $709.98 | $709.98 |
| Colorado | $709.20 | $709.20 |
| New Hampshire | $704.69 | $704.69 |
| Puerto Rico | $703.30 | $703.30 |
| Virgin Islands | $703.30 | $703.30 |
| Pennsylvania | $702.79 | $702.79 |
| Georgia | $701.33 | $701.33 |
| Montana | $700.95 | $700.95 |
| Oregon | $700.91 | $700.91 |
| Texas | $693.65 | $693.65 |
| Delaware | $692.50 | $692.50 |
| West Virginia | $691.69 | $691.69 |
| New Mexico | $690.29 | $690.29 |
| Nevada | $690.17 | $690.17 |
| Wyoming | $683.63 | $683.63 |
| Arizona | $682.35 | $682.35 |
| Louisiana | $678.79 | $678.79 |
| Utah | $676.68 | $676.68 |
| Virginia | $676.37 | $676.37 |
| Ohio | $676.17 | $676.17 |
| Missouri | $675.94 | $675.94 |
| South Carolina | $668.78 | $668.78 |
| Vermont | $664.99 | $664.99 |
| Maine | $662.99 | $662.99 |
| Kentucky | $662.90 | $662.90 |
| Minnesota | $662.31 | $662.31 |
| North Dakota | $661.21 | $661.21 |
| North Carolina | $657.25 | $657.25 |
| South Dakota | $656.51 | $656.51 |
| Oklahoma | $654.81 | $654.81 |
| Indiana | $645.22 | $645.22 |
| Tennessee | $643.38 | $643.38 |
| Mississippi | $642.89 | $642.89 |
| Wisconsin | $642.34 | $642.34 |
| Idaho | $642.30 | $642.30 |
| Kansas | $639.70 | $639.70 |
| Nebraska | $636.80 | $636.80 |
| Iowa | $635.73 | $635.73 |
| Alabama | $635.37 | $635.37 |
| Arkansas | $627.27 | $627.27 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 19340 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