# CPT 38242: Allogeneic Lymphocyte Infusions

Medicare CPT 38242 pays $105.88 in a non-facility setting and $105.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $99.04 in Arkansas to $140.29 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/38242-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Hematology & Oncology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $105.88 |
| National facility | $105.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $140.29 | $140.29 |
| District of Columbia | $115.89 | $115.89 |
| New York | $114.57 | $114.57 |
| New Jersey | $113.90 | $113.90 |
| California | $112.14 | $112.14 |
| Washington | $111.60 | $111.60 |
| Massachusetts | $111.11 | $111.11 |
| Connecticut | $110.73 | $110.73 |
| Florida | $110.42 | $110.42 |
| Illinois | $109.29 | $109.29 |
| Maryland | $108.51 | $108.51 |
| Hawaii | $108.35 | $108.35 |
| Colorado | $107.76 | $107.76 |
| Rhode Island | $107.75 | $107.75 |
| Oregon | $106.87 | $106.87 |
| New Hampshire | $106.62 | $106.62 |
| Puerto Rico | $106.17 | $106.17 |
| Virgin Islands | $106.17 | $106.17 |
| Pennsylvania | $106.16 | $106.16 |
| Montana | $105.87 | $105.87 |
| Michigan | $105.81 | $105.81 |
| Georgia | $105.42 | $105.42 |
| Texas | $105.42 | $105.42 |
| Delaware | $105.36 | $105.36 |
| Nevada | $105.13 | $105.13 |
| Wyoming | $104.67 | $104.67 |
| Arizona | $104.20 | $104.20 |
| New Mexico | $104.13 | $104.13 |
| Virginia | $103.96 | $103.96 |
| West Virginia | $103.65 | $103.65 |
| Minnesota | $103.53 | $103.53 |
| Utah | $103.46 | $103.46 |
| Louisiana | $103.29 | $103.29 |
| Vermont | $103.25 | $103.25 |
| Missouri | $103.14 | $103.14 |
| North Dakota | $103.10 | $103.10 |
| Ohio | $103.10 | $103.10 |
| South Dakota | $102.78 | $102.78 |
| South Carolina | $102.72 | $102.72 |
| Maine | $102.69 | $102.69 |
| North Carolina | $102.02 | $102.02 |
| Kentucky | $101.89 | $101.89 |
| Oklahoma | $101.37 | $101.37 |
| Wisconsin | $101.28 | $101.28 |
| Indiana | $101.11 | $101.11 |
| Idaho | $100.82 | $100.82 |
| Tennessee | $100.77 | $100.77 |
| Nebraska | $100.48 | $100.48 |
| Kansas | $100.45 | $100.45 |
| Iowa | $100.31 | $100.31 |
| Mississippi | $100.16 | $100.16 |
| Alabama | $99.80 | $99.80 |
| Arkansas | $99.04 | $99.04 |

## 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 38242 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