CPT 19367

Breast Reconstruction Single Pedicled Tram Flap

CPT 19367 pays $1,559.15 in a non-facility setting and $1,559.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,406.65 in Arkansas to $1,956.89 in Alaska, a 39% spread.

National non-facility rate

$1,559.15

Office and other outpatient settings

Facility rate
$1,559.15

Hospital and ASC settings

Highest state
$1,956.89

Alaska

Lowest state
$1,406.65

Arkansas · 39% 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 $1,559.15
CPT 19367 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,559.15, national facility $1,559.15.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,956.89$1,956.89
New York
$1,719.40$1,719.40
District of Columbia
$1,717.93$1,717.93
Florida
$1,714.26$1,714.26
Illinois
$1,692.09$1,692.09
New Jersey
$1,683.54$1,683.54
Connecticut
$1,651.01$1,651.01
Washington
$1,625.88$1,625.88
Massachusetts
$1,623.44$1,623.44
California
$1,612.39$1,612.39
Maryland
$1,605.34$1,605.34
Michigan
$1,593.18$1,593.18
Rhode Island
$1,575.55$1,575.55
Georgia
$1,568.17$1,568.17
Colorado
$1,567.71$1,567.71
Pennsylvania
$1,567.44$1,567.44
Hawaii
$1,562.80$1,562.80
Puerto Rico
$1,562.49$1,562.49
Virgin Islands
$1,562.49$1,562.49
New Hampshire
$1,560.40$1,560.40
West Virginia
$1,560.28$1,560.28
Montana
$1,558.83$1,558.83
Oregon
$1,549.40$1,549.40
New Mexico
$1,548.19$1,548.19
Texas
$1,544.30$1,544.30
Delaware
$1,540.86$1,540.86
Nevada
$1,532.63$1,532.63
Louisiana
$1,521.15$1,521.15
Arizona
$1,519.57$1,519.57
Wyoming
$1,517.04$1,517.04
Ohio
$1,514.83$1,514.83
Missouri
$1,513.44$1,513.44
Utah
$1,511.17$1,511.17
Virginia
$1,502.61$1,502.61
South Carolina
$1,495.00$1,495.00
Kentucky
$1,487.18$1,487.18
Maine
$1,475.31$1,475.31
Vermont
$1,473.88$1,473.88
Oklahoma
$1,466.92$1,466.92
North Carolina
$1,465.54$1,465.54
North Dakota
$1,462.93$1,462.93
Minnesota
$1,460.32$1,460.32
South Dakota
$1,451.59$1,451.59
Mississippi
$1,443.98$1,443.98
Indiana
$1,437.61$1,437.61
Tennessee
$1,436.43$1,436.43
Idaho
$1,431.83$1,431.83
Kansas
$1,428.46$1,428.46
Wisconsin
$1,425.03$1,425.03
Alabama
$1,423.30$1,423.30
Nebraska
$1,418.02$1,418.02
Iowa
$1,416.90$1,416.90
Arkansas
$1,406.65$1,406.65

Billed by 1 specialties

Commercial rates for 19367

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

See negotiated rates