# CPT 26418: Repair, extensor tendon, hand, primary

Medicare CPT 26418 pays $627.60 in a non-facility setting and $627.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $549.88 in Arkansas to $719.41 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/26418-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $627.60 |
| National facility | $627.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $719.41 | $719.41 |
| Alaska | $717.15 | $717.15 |
| California | $702.96 | $702.96 |
| New York | $697.15 | $697.15 |
| New Jersey | $694.60 | $694.60 |
| Washington | $689.70 | $689.70 |
| Massachusetts | $683.33 | $683.33 |
| Hawaii | $677.79 | $677.79 |
| Connecticut | $671.40 | $671.40 |
| Florida | $655.99 | $655.99 |
| Colorado | $652.16 | $652.16 |
| Maryland | $650.97 | $650.97 |
| Oregon | $645.18 | $645.18 |
| New Hampshire | $642.65 | $642.65 |
| Rhode Island | $642.27 | $642.27 |
| Illinois | $638.67 | $638.67 |
| Puerto Rico | $632.17 | $632.17 |
| Virgin Islands | $632.17 | $632.17 |
| Montana | $627.55 | $627.55 |
| Nevada | $623.32 | $623.32 |
| Pennsylvania | $621.58 | $621.58 |
| Minnesota | $620.77 | $620.77 |
| Wyoming | $620.22 | $620.22 |
| Delaware | $620.02 | $620.02 |
| Texas | $619.36 | $619.36 |
| Georgia | $612.54 | $612.54 |
| Virginia | $611.55 | $611.55 |
| Michigan | $611.50 | $611.50 |
| North Dakota | $610.74 | $610.74 |
| Arizona | $609.45 | $609.45 |
| Vermont | $609.04 | $609.04 |
| South Dakota | $608.75 | $608.75 |
| Utah | $597.49 | $597.49 |
| Maine | $596.81 | $596.81 |
| New Mexico | $595.66 | $595.66 |
| Missouri | $589.81 | $589.81 |
| Louisiana | $589.48 | $589.48 |
| Wisconsin | $588.91 | $588.91 |
| South Carolina | $588.87 | $588.87 |
| Ohio | $588.37 | $588.37 |
| North Carolina | $586.96 | $586.96 |
| West Virginia | $580.42 | $580.42 |
| Indiana | $579.90 | $579.90 |
| Idaho | $576.35 | $576.35 |
| Nebraska | $575.02 | $575.02 |
| Kentucky | $574.84 | $574.84 |
| Tennessee | $573.18 | $573.18 |
| Oklahoma | $572.74 | $572.74 |
| Iowa | $571.93 | $571.93 |
| Kansas | $569.98 | $569.98 |
| Alabama | $558.58 | $558.58 |
| Mississippi | $557.14 | $557.14 |
| Arkansas | $549.88 | $549.88 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 26418 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