# CPT 38200: Injection procedure for splenoportography

Medicare CPT 38200 pays $109.22 in a non-facility setting and $109.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $103.03 in Wisconsin to $149.54 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/38200-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $109.22 |
| National facility | $109.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $149.54 | $149.54 |
| New York | $117.95 | $117.95 |
| District of Columbia | $117.50 | $117.50 |
| Florida | $116.86 | $116.86 |
| Illinois | $116.31 | $116.31 |
| New Jersey | $116.24 | $116.24 |
| Connecticut | $113.80 | $113.80 |
| Washington | $112.39 | $112.39 |
| Massachusetts | $112.31 | $112.31 |
| Maryland | $111.62 | $111.62 |
| Michigan | $111.55 | $111.55 |
| California | $111.45 | $111.45 |
| West Virginia | $110.66 | $110.66 |
| Rhode Island | $110.49 | $110.49 |
| Pennsylvania | $110.23 | $110.23 |
| Georgia | $110.22 | $110.22 |
| New Mexico | $109.56 | $109.56 |
| Colorado | $109.48 | $109.48 |
| Puerto Rico | $109.27 | $109.27 |
| Virgin Islands | $109.27 | $109.27 |
| Montana | $109.20 | $109.20 |
| Texas | $108.88 | $108.88 |
| New Hampshire | $108.85 | $108.85 |
| Delaware | $108.66 | $108.66 |
| Oregon | $108.52 | $108.52 |
| Louisiana | $108.26 | $108.26 |
| Hawaii | $107.95 | $107.95 |
| Ohio | $107.95 | $107.95 |
| Nevada | $107.90 | $107.90 |
| Missouri | $107.83 | $107.83 |
| Arizona | $107.59 | $107.59 |
| Utah | $107.48 | $107.48 |
| Wyoming | $107.14 | $107.14 |
| South Carolina | $106.85 | $106.85 |
| Kentucky | $106.83 | $106.83 |
| Virginia | $106.60 | $106.60 |
| Oklahoma | $105.79 | $105.79 |
| Maine | $105.54 | $105.54 |
| North Carolina | $105.30 | $105.30 |
| Vermont | $105.11 | $105.11 |
| Mississippi | $104.99 | $104.99 |
| North Dakota | $104.46 | $104.46 |
| Tennessee | $104.11 | $104.11 |
| Minnesota | $104.02 | $104.02 |
| Indiana | $103.98 | $103.98 |
| South Dakota | $103.90 | $103.90 |
| Alabama | $103.82 | $103.82 |
| Idaho | $103.77 | $103.77 |
| Kansas | $103.77 | $103.77 |
| Arkansas | $103.17 | $103.17 |
| Iowa | $103.08 | $103.08 |
| Nebraska | $103.05 | $103.05 |
| Wisconsin | $103.03 | $103.03 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 38200 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