# CPT 20969: Free Ostq Flap W/mvasc Anast Metar/great Toe

Medicare CPT 20969 pays $2,322.36 in a non-facility setting and $2,322.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,125.13 in Arkansas to $2,999.74 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/20969-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,322.36 |
| National facility | $2,322.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,999.74 | $2,999.74 |
| New York | $2,545.52 | $2,545.52 |
| Florida | $2,540.06 | $2,540.06 |
| District of Columbia | $2,537.50 | $2,537.50 |
| Illinois | $2,514.30 | $2,514.30 |
| New Jersey | $2,494.86 | $2,494.86 |
| Connecticut | $2,447.16 | $2,447.16 |
| Washington | $2,407.04 | $2,407.04 |
| Massachusetts | $2,404.86 | $2,404.86 |
| Maryland | $2,385.40 | $2,385.40 |
| California | $2,383.87 | $2,383.87 |
| Michigan | $2,377.66 | $2,377.66 |
| Rhode Island | $2,346.17 | $2,346.17 |
| Georgia | $2,341.04 | $2,341.04 |
| West Virginia | $2,339.95 | $2,339.95 |
| Pennsylvania | $2,338.79 | $2,338.79 |
| Colorado | $2,329.61 | $2,329.61 |
| Puerto Rico | $2,325.72 | $2,325.72 |
| Virgin Islands | $2,325.72 | $2,325.72 |
| Montana | $2,321.91 | $2,321.91 |
| New Hampshire | $2,319.12 | $2,319.12 |
| New Mexico | $2,317.09 | $2,317.09 |
| Hawaii | $2,310.75 | $2,310.75 |
| Texas | $2,304.76 | $2,304.76 |
| Oregon | $2,304.13 | $2,304.13 |
| Delaware | $2,299.37 | $2,299.37 |
| Nevada | $2,284.94 | $2,284.94 |
| Louisiana | $2,279.55 | $2,279.55 |
| Ohio | $2,270.66 | $2,270.66 |
| Arizona | $2,270.49 | $2,270.49 |
| Missouri | $2,268.14 | $2,268.14 |
| Wyoming | $2,263.14 | $2,263.14 |
| Utah | $2,262.21 | $2,262.21 |
| Virginia | $2,244.93 | $2,244.93 |
| South Carolina | $2,241.44 | $2,241.44 |
| Kentucky | $2,234.71 | $2,234.71 |
| Maine | $2,209.90 | $2,209.90 |
| Oklahoma | $2,205.74 | $2,205.74 |
| Vermont | $2,203.68 | $2,203.68 |
| North Carolina | $2,198.91 | $2,198.91 |
| North Dakota | $2,187.05 | $2,187.05 |
| Minnesota | $2,179.84 | $2,179.84 |
| Mississippi | $2,177.39 | $2,177.39 |
| South Dakota | $2,171.11 | $2,171.11 |
| Tennessee | $2,160.91 | $2,160.91 |
| Indiana | $2,160.37 | $2,160.37 |
| Idaho | $2,153.10 | $2,153.10 |
| Kansas | $2,150.32 | $2,150.32 |
| Alabama | $2,146.60 | $2,146.60 |
| Wisconsin | $2,138.89 | $2,138.89 |
| Nebraska | $2,133.30 | $2,133.30 |
| Iowa | $2,132.71 | $2,132.71 |
| Arkansas | $2,125.13 | $2,125.13 |

## 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 20969 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