CPT 19364

Breast Reconstruction W/Free Flap

CPT 19364 pays $2,369.46 in a non-facility setting and $2,369.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,139.79 in Arkansas to $2,990.59 in Alaska, a 40% spread.

National non-facility rate

$2,369.46

Office and other outpatient settings

Facility rate
$2,369.46

Hospital and ASC settings

Highest state
$2,990.59

Alaska

Lowest state
$2,139.79

Arkansas · 40% 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 $2,369.46
CPT 19364 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $2,369.46, national facility $2,369.46.
StateRate compared visuallyNon-facilityFacility
Alaska
$2,990.59$2,990.59
Florida
$2,622.60$2,622.60
New York
$2,613.42$2,613.42
District of Columbia
$2,602.04$2,602.04
Illinois
$2,591.38$2,591.38
New Jersey
$2,553.17$2,553.17
Connecticut
$2,508.09$2,508.09
Washington
$2,457.75$2,457.75
Massachusetts
$2,456.18$2,456.18
Maryland
$2,438.52$2,438.52
Michigan
$2,433.61$2,433.61
California
$2,429.48$2,429.48
Rhode Island
$2,390.89$2,390.89
Georgia
$2,390.57$2,390.57
West Virginia
$2,389.59$2,389.59
Pennsylvania
$2,385.50$2,385.50
Colorado
$2,374.03$2,374.03
Puerto Rico
$2,373.38$2,373.38
Virgin Islands
$2,373.38$2,373.38
Montana
$2,368.93$2,368.93
New Hampshire
$2,365.78$2,365.78
New Mexico
$2,363.12$2,363.12
Hawaii
$2,356.29$2,356.29
Texas
$2,347.12$2,347.12
Oregon
$2,345.72$2,345.72
Delaware
$2,341.03$2,341.03
Nevada
$2,325.94$2,325.94
Louisiana
$2,319.46$2,319.46
Ohio
$2,309.13$2,309.13
Arizona
$2,309.07$2,309.07
Missouri
$2,306.21$2,306.21
Wyoming
$2,300.59$2,300.59
Utah
$2,299.38$2,299.38
Virginia
$2,279.39$2,279.39
South Carolina
$2,275.18$2,275.18
Kentucky
$2,267.27$2,267.27
Maine
$2,238.59$2,238.59
Oklahoma
$2,233.59$2,233.59
Vermont
$2,231.44$2,231.44
North Carolina
$2,225.75$2,225.75
North Dakota
$2,212.13$2,212.13
Minnesota
$2,203.81$2,203.81
Mississippi
$2,200.56$2,200.56
South Dakota
$2,193.59$2,193.59
Tennessee
$2,181.51$2,181.51
Indiana
$2,180.92$2,180.92
Idaho
$2,172.45$2,172.45
Kansas
$2,169.18$2,169.18
Alabama
$2,164.78$2,164.78
Wisconsin
$2,156.02$2,156.02
Nebraska
$2,149.44$2,149.44
Iowa
$2,148.73$2,148.73
Arkansas
$2,139.79$2,139.79

Related Surgery

19361Breast Reconstruction W/Latissimus Dorsi Flap19367Breast Reconstruction Single Pedicled Tram Flap19357Tissue Expander Placement Breast Reconstruction19380Revision of Reconstructed Breast19342Insj/Rplcmt Breast Implant Sep Day Mastectomy19340Insertion Breast Implant Same Day of Mastectomy19325Breast Augmentation With Implant19318Breast Reduction

Billed by 1 specialties

Plastic Surgery

Commercial rates for 19364

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

See negotiated rates