# CPT 36516: Ther Apheresis W/extracorporeal Immunoadsorption

Medicare CPT 36516 pays $2,227.84 in a non-facility setting and $74.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,916.85 in Arkansas to $2,621.17 in California, a 37% spread.

Web page: https://www.med-reveal.com/rates/36516-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Hematology & Oncology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,227.84 |
| National facility | $74.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $2,621.17 | $73.16 |
| District of Columbia | $2,617.34 | $80.69 |
| Washington | $2,530.13 | $75.30 |
| Hawaii | $2,519.58 | $71.21 |
| New Jersey | $2,504.26 | $79.58 |
| Massachusetts | $2,494.88 | $75.59 |
| New York | $2,484.77 | $82.48 |
| Connecticut | $2,398.04 | $78.88 |
| Alaska | $2,388.73 | $95.40 |
| Colorado | $2,364.47 | $73.30 |
| Oregon | $2,340.86 | $72.30 |
| Maryland | $2,321.44 | $76.56 |
| New Hampshire | $2,315.16 | $73.52 |
| Rhode Island | $2,299.00 | $74.58 |
| Minnesota | $2,282.41 | $66.60 |
| Puerto Rico | $2,251.48 | $74.44 |
| Virgin Islands | $2,251.48 | $74.44 |
| Florida | $2,246.13 | $85.59 |
| Nevada | $2,228.05 | $72.54 |
| Montana | $2,227.82 | $74.46 |
| Wyoming | $2,224.80 | $71.44 |
| North Dakota | $2,220.90 | $67.54 |
| South Dakota | $2,220.08 | $66.72 |
| Delaware | $2,200.93 | $73.41 |
| Vermont | $2,200.41 | $68.59 |
| Texas | $2,193.73 | $73.75 |
| Virginia | $2,187.59 | $70.84 |
| Pennsylvania | $2,184.72 | $75.51 |
| Illinois | $2,165.59 | $84.91 |
| Arizona | $2,159.03 | $72.43 |
| Georgia | $2,130.61 | $76.31 |
| Wisconsin | $2,128.80 | $65.89 |
| Maine | $2,127.11 | $69.58 |
| Michigan | $2,100.52 | $78.52 |
| Utah | $2,096.72 | $72.57 |
| North Carolina | $2,078.54 | $69.46 |
| Indiana | $2,063.76 | $67.60 |
| South Carolina | $2,061.52 | $71.82 |
| Nebraska | $2,053.83 | $66.29 |
| New Mexico | $2,050.46 | $75.84 |
| Missouri | $2,049.37 | $73.31 |
| Idaho | $2,048.45 | $67.36 |
| Louisiana | $2,040.00 | $73.99 |
| Ohio | $2,039.55 | $73.53 |
| Iowa | $2,036.73 | $66.41 |
| Tennessee | $2,025.38 | $67.98 |
| Kansas | $2,014.17 | $67.53 |
| Oklahoma | $1,993.54 | $70.59 |
| Kentucky | $1,986.49 | $72.16 |
| Alabama | $1,952.09 | $67.91 |
| West Virginia | $1,949.21 | $77.95 |
| Mississippi | $1,923.80 | $69.76 |
| Arkansas | $1,916.85 | $67.12 |

## 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 36516 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
