CPT 19342

Insj/Rplcmt Breast Implant Sep Day Mastectomy

CPT 19342 pays $694.40 in a non-facility setting and $694.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $622.68 in Arkansas to $855.24 in Alaska, a 37% spread.

National non-facility rate

$694.40

Office and other outpatient settings

Facility rate
$694.40

Hospital and ASC settings

Highest state
$855.24

Alaska

Lowest state
$622.68

Arkansas · 37% 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 $694.40
CPT 19342 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $694.40, national facility $694.40.
StateRate compared visuallyNon-facilityFacility
Alaska
$855.24$855.24
District of Columbia
$771.53$771.53
New York
$766.96$766.96
Florida
$755.76$755.76
New Jersey
$753.69$753.69
Illinois
$743.96$743.96
Connecticut
$736.90$736.90
Washington
$732.19$732.19
California
$730.45$730.45
Massachusetts
$729.87$729.87
Maryland
$716.08$716.08
Hawaii
$707.17$707.17
Rhode Island
$703.55$703.55
Colorado
$703.04$703.04
Michigan
$702.76$702.76
New Hampshire
$698.29$698.29
Puerto Rico
$696.63$696.63
Virgin Islands
$696.63$696.63
Pennsylvania
$695.95$695.95
Oregon
$694.97$694.97
Montana
$694.28$694.28
Georgia
$694.15$694.15
Texas
$687.26$687.26
Delaware
$686.20$686.20
Nevada
$684.04$684.04
West Virginia
$684.01$684.01
New Mexico
$683.22$683.22
Wyoming
$677.82$677.82
Arizona
$676.25$676.25
Louisiana
$672.24$672.24
Virginia
$670.73$670.73
Utah
$670.54$670.54
Ohio
$669.75$669.75
Missouri
$669.59$669.59
South Carolina
$662.85$662.85
Vermont
$660.00$660.00
Minnesota
$657.88$657.88
Maine
$657.71$657.71
Kentucky
$656.88$656.88
North Dakota
$656.51$656.51
South Dakota
$652.04$652.04
North Carolina
$651.99$651.99
Oklahoma
$649.23$649.23
Indiana
$640.50$640.50
Tennessee
$638.55$638.55
Wisconsin
$638.11$638.11
Idaho
$637.64$637.64
Mississippi
$637.55$637.55
Kansas
$634.99$634.99
Nebraska
$632.45$632.45
Iowa
$631.35$631.35
Alabama
$630.56$630.56
Arkansas
$622.68$622.68

Billed by 1 specialties

Commercial rates for 19342

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

See negotiated rates