CPT 19380

Revision of Reconstructed Breast

CPT 19380 pays $735.82 in a non-facility setting and $735.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $659.80 in Arkansas to $906.68 in Alaska, a 37% spread.

National non-facility rate

$735.82

Office and other outpatient settings

Facility rate
$735.82

Hospital and ASC settings

Highest state
$906.68

Alaska

Lowest state
$659.80

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 $735.82
CPT 19380 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $735.82, national facility $735.82.
StateRate compared visuallyNon-facilityFacility
Alaska
$906.68$906.68
District of Columbia
$817.24$817.24
New York
$812.78$812.78
Florida
$801.65$801.65
New Jersey
$798.46$798.46
Illinois
$789.23$789.23
Connecticut
$780.85$780.85
Washington
$775.34$775.34
California
$773.16$773.16
Massachusetts
$772.97$772.97
Maryland
$758.76$758.76
Hawaii
$748.59$748.59
Rhode Island
$745.36$745.36
Michigan
$745.20$745.20
Colorado
$744.62$744.62
New Hampshire
$739.71$739.71
Puerto Rico
$738.13$738.13
Virgin Islands
$738.13$738.13
Pennsylvania
$737.60$737.60
Oregon
$736.04$736.04
Georgia
$735.86$735.86
Montana
$735.68$735.68
Texas
$728.25$728.25
Delaware
$727.08$727.08
West Virginia
$725.56$725.56
Nevada
$724.69$724.69
New Mexico
$724.38$724.38
Wyoming
$718.02$718.02
Arizona
$716.55$716.55
Louisiana
$712.63$712.63
Utah
$710.62$710.62
Virginia
$710.53$710.53
Ohio
$709.96$709.96
Missouri
$709.75$709.75
South Carolina
$702.48$702.48
Vermont
$698.96$698.96
Maine
$696.74$696.74
Minnesota
$696.42$696.42
Kentucky
$696.30$696.30
North Dakota
$695.15$695.15
North Carolina
$690.76$690.76
South Dakota
$690.36$690.36
Oklahoma
$688.07$688.07
Indiana
$678.46$678.46
Tennessee
$676.49$676.49
Mississippi
$675.75$675.75
Wisconsin
$675.69$675.69
Idaho
$675.45$675.45
Kansas
$672.71$672.71
Nebraska
$669.85$669.85
Iowa
$668.73$668.73
Alabama
$668.15$668.15
Arkansas
$659.80$659.80

Billed by 1 specialties

Commercial rates for 19380

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

See negotiated rates