# CPT 43281: Laps Rpr Paraesphgl Hrna Incl Fundplsty w/o Mesh

Medicare CPT 43281 pays $1,424.88 in a non-facility setting and $1,424.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,254.88 in Wisconsin to $1,778.51 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43281-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,424.88 |
| National facility | $1,424.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,778.51 | $1,778.51 |
| Florida | $1,639.42 | $1,639.42 |
| Illinois | $1,622.07 | $1,622.07 |
| New York | $1,585.52 | $1,585.52 |
| District of Columbia | $1,556.42 | $1,556.42 |
| New Jersey | $1,530.07 | $1,530.07 |
| Connecticut | $1,515.20 | $1,515.20 |
| Michigan | $1,496.44 | $1,496.44 |
| West Virginia | $1,478.43 | $1,478.43 |
| Maryland | $1,467.78 | $1,467.78 |
| Massachusetts | $1,455.42 | $1,455.42 |
| Georgia | $1,455.17 | $1,455.17 |
| Washington | $1,451.23 | $1,451.23 |
| New Mexico | $1,442.56 | $1,442.56 |
| Pennsylvania | $1,441.41 | $1,441.41 |
| Rhode Island | $1,427.98 | $1,427.98 |
| Puerto Rico | $1,425.16 | $1,425.16 |
| Virgin Islands | $1,425.16 | $1,425.16 |
| Montana | $1,424.43 | $1,424.43 |
| California | $1,413.78 | $1,413.78 |
| New Hampshire | $1,410.35 | $1,410.35 |
| Texas | $1,408.45 | $1,408.45 |
| Colorado | $1,407.22 | $1,407.22 |
| Louisiana | $1,406.51 | $1,406.51 |
| Delaware | $1,402.45 | $1,402.45 |
| Ohio | $1,397.71 | $1,397.71 |
| Missouri | $1,393.93 | $1,393.93 |
| Nevada | $1,387.56 | $1,387.56 |
| Oregon | $1,387.29 | $1,387.29 |
| Arizona | $1,382.09 | $1,382.09 |
| Utah | $1,381.91 | $1,381.91 |
| Hawaii | $1,375.59 | $1,375.59 |
| Kentucky | $1,368.75 | $1,368.75 |
| Wyoming | $1,366.26 | $1,366.26 |
| South Carolina | $1,365.76 | $1,365.76 |
| Virginia | $1,352.94 | $1,352.94 |
| Oklahoma | $1,338.97 | $1,338.97 |
| Maine | $1,325.86 | $1,325.86 |
| North Carolina | $1,321.18 | $1,321.18 |
| Mississippi | $1,319.75 | $1,319.75 |
| Vermont | $1,310.18 | $1,310.18 |
| North Dakota | $1,290.96 | $1,290.96 |
| Tennessee | $1,290.19 | $1,290.19 |
| Alabama | $1,285.41 | $1,285.41 |
| Indiana | $1,284.69 | $1,284.69 |
| Kansas | $1,281.09 | $1,281.09 |
| Idaho | $1,279.43 | $1,279.43 |
| Minnesota | $1,275.82 | $1,275.82 |
| South Dakota | $1,275.18 | $1,275.18 |
| Arkansas | $1,268.58 | $1,268.58 |
| Iowa | $1,260.63 | $1,260.63 |
| Nebraska | $1,259.01 | $1,259.01 |
| Wisconsin | $1,254.88 | $1,254.88 |

## 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 43281 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