# CPT 36818: Arven Anast Opn Upr Arm Cephalic Vein Trpos

Medicare CPT 36818 pays $628.60 in a non-facility setting and $628.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $552.93 in Wisconsin to $792.62 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/36818-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $628.60 |
| National facility | $628.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $792.62 | $792.62 |
| Florida | $725.45 | $725.45 |
| Illinois | $718.66 | $718.66 |
| New York | $698.61 | $698.61 |
| District of Columbia | $683.84 | $683.84 |
| New Jersey | $673.32 | $673.32 |
| Connecticut | $667.56 | $667.56 |
| Michigan | $662.60 | $662.60 |
| West Virginia | $656.37 | $656.37 |
| Maryland | $646.99 | $646.99 |
| Georgia | $643.56 | $643.56 |
| Massachusetts | $639.38 | $639.38 |
| New Mexico | $638.85 | $638.85 |
| Washington | $637.07 | $637.07 |
| Pennsylvania | $636.74 | $636.74 |
| Rhode Island | $629.34 | $629.34 |
| Puerto Rico | $628.43 | $628.43 |
| Virgin Islands | $628.43 | $628.43 |
| Montana | $628.40 | $628.40 |
| Louisiana | $622.67 | $622.67 |
| Texas | $621.67 | $621.67 |
| New Hampshire | $620.92 | $620.92 |
| California | $619.03 | $619.03 |
| Colorado | $619.02 | $619.02 |
| Delaware | $618.85 | $618.85 |
| Ohio | $618.70 | $618.70 |
| Missouri | $616.86 | $616.86 |
| Nevada | $611.72 | $611.72 |
| Utah | $610.82 | $610.82 |
| Oregon | $610.26 | $610.26 |
| Arizona | $610.11 | $610.11 |
| Kentucky | $606.27 | $606.27 |
| South Carolina | $603.96 | $603.96 |
| Hawaii | $602.60 | $602.60 |
| Wyoming | $602.12 | $602.12 |
| Virginia | $596.56 | $596.56 |
| Oklahoma | $592.70 | $592.70 |
| Maine | $585.07 | $585.07 |
| Mississippi | $584.88 | $584.88 |
| North Carolina | $583.57 | $583.57 |
| Vermont | $577.05 | $577.05 |
| Tennessee | $570.22 | $570.22 |
| Alabama | $568.99 | $568.99 |
| North Dakota | $568.09 | $568.09 |
| Indiana | $567.25 | $567.25 |
| Kansas | $566.24 | $566.24 |
| Idaho | $565.06 | $565.06 |
| Arkansas | $561.82 | $561.82 |
| South Dakota | $560.96 | $560.96 |
| Minnesota | $560.46 | $560.46 |
| Iowa | $556.70 | $556.70 |
| Nebraska | $555.75 | $555.75 |
| Wisconsin | $552.93 | $552.93 |

## 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 36818 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