# CPT 20956: Bone Graft Microvascular Anast Iliac Crest

Medicare CPT 20956 pays $2,355.43 in a non-facility setting and $2,355.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,113.82 in Arkansas to $2,944.59 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/20956-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,355.43 |
| National facility | $2,355.43 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,944.59 | $2,944.59 |
| Florida | $2,629.15 | $2,629.15 |
| New York | $2,606.19 | $2,606.19 |
| Illinois | $2,596.64 | $2,596.64 |
| District of Columbia | $2,589.78 | $2,589.78 |
| New Jersey | $2,539.84 | $2,539.84 |
| Connecticut | $2,498.48 | $2,498.48 |
| Washington | $2,439.10 | $2,439.10 |
| Massachusetts | $2,438.69 | $2,438.69 |
| Michigan | $2,427.82 | $2,427.82 |
| Maryland | $2,426.01 | $2,426.01 |
| California | $2,405.71 | $2,405.71 |
| West Virginia | $2,383.60 | $2,383.60 |
| Georgia | $2,380.27 | $2,380.27 |
| Rhode Island | $2,373.98 | $2,373.98 |
| Pennsylvania | $2,372.35 | $2,372.35 |
| Puerto Rico | $2,359.14 | $2,359.14 |
| Virgin Islands | $2,359.14 | $2,359.14 |
| Colorado | $2,355.34 | $2,355.34 |
| Montana | $2,354.86 | $2,354.86 |
| New Mexico | $2,352.63 | $2,352.63 |
| New Hampshire | $2,349.45 | $2,349.45 |
| Hawaii | $2,334.49 | $2,334.49 |
| Texas | $2,331.14 | $2,331.14 |
| Oregon | $2,325.86 | $2,325.86 |
| Delaware | $2,324.46 | $2,324.46 |
| Nevada | $2,308.30 | $2,308.30 |
| Louisiana | $2,305.59 | $2,305.59 |
| Ohio | $2,294.41 | $2,294.41 |
| Arizona | $2,291.60 | $2,291.60 |
| Missouri | $2,291.02 | $2,291.02 |
| Utah | $2,282.53 | $2,282.53 |
| Wyoming | $2,280.92 | $2,280.92 |
| Virginia | $2,258.80 | $2,258.80 |
| South Carolina | $2,257.13 | $2,257.13 |
| Kentucky | $2,250.29 | $2,250.29 |
| Maine | $2,216.01 | $2,216.01 |
| Oklahoma | $2,213.65 | $2,213.65 |
| Vermont | $2,206.58 | $2,206.58 |
| North Carolina | $2,203.21 | $2,203.21 |
| North Dakota | $2,185.20 | $2,185.20 |
| Mississippi | $2,179.47 | $2,179.47 |
| Minnesota | $2,174.79 | $2,174.79 |
| South Dakota | $2,165.14 | $2,165.14 |
| Tennessee | $2,156.51 | $2,156.51 |
| Indiana | $2,155.00 | $2,155.00 |
| Idaho | $2,146.18 | $2,146.18 |
| Kansas | $2,143.42 | $2,143.42 |
| Alabama | $2,140.08 | $2,140.08 |
| Wisconsin | $2,126.55 | $2,126.55 |
| Nebraska | $2,121.14 | $2,121.14 |
| Iowa | $2,120.76 | $2,120.76 |
| Arkansas | $2,113.82 | $2,113.82 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 20956 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