CPT 43633

Gstrct Prtl Dstl W/Roux-En-Y Rcnstj

CPT 43633 pays $1,775.93 in a non-facility setting and $1,775.93 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,568.42 in Wisconsin to $2,219.86 in Alaska, a 42% spread.

National non-facility rate

$1,775.93

Office and other outpatient settings

Facility rate
$1,775.93

Hospital and ASC settings

Highest state
$2,219.86

Alaska

Lowest state
$1,568.42

Wisconsin · 42% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,775.93
CPT 43633 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,775.93, national facility $1,775.93.
StateRate compared visuallyNon-facilityFacility
Alaska
$2,219.86$2,219.86
Florida
$2,036.93$2,036.93
Illinois
$2,015.26$2,015.26
New York
$1,974.53$1,974.53
District of Columbia
$1,940.40$1,940.40
New Jersey
$1,907.36$1,907.36
Connecticut
$1,887.63$1,887.63
Michigan
$1,861.90$1,861.90
West Virginia
$1,838.76$1,838.76
Maryland
$1,829.16$1,829.16
Massachusetts
$1,815.95$1,815.95
Georgia
$1,811.99$1,811.99
Washington
$1,811.21$1,811.21
New Mexico
$1,795.98$1,795.98
Pennsylvania
$1,795.90$1,795.90
Rhode Island
$1,780.76$1,780.76
Puerto Rico
$1,776.46$1,776.46
Virgin Islands
$1,776.46$1,776.46
Montana
$1,775.38$1,775.38
California
$1,766.53$1,766.53
New Hampshire
$1,758.97$1,758.97
Colorado
$1,755.86$1,755.86
Texas
$1,755.81$1,755.81
Louisiana
$1,752.05$1,752.05
Delaware
$1,748.56$1,748.56
Ohio
$1,741.36$1,741.36
Missouri
$1,736.84$1,736.84
Oregon
$1,731.34$1,731.34
Nevada
$1,730.55$1,730.55
Arizona
$1,723.34$1,723.34
Utah
$1,722.60$1,722.60
Hawaii
$1,718.36$1,718.36
Kentucky
$1,705.72$1,705.72
Wyoming
$1,704.63$1,704.63
South Carolina
$1,702.68$1,702.68
Virginia
$1,688.12$1,688.12
Oklahoma
$1,669.56$1,669.56
Maine
$1,654.70$1,654.70
North Carolina
$1,648.62$1,648.62
Mississippi
$1,645.62$1,645.62
Vermont
$1,636.24$1,636.24
North Dakota
$1,613.04$1,613.04
Tennessee
$1,610.51$1,610.51
Indiana
$1,604.13$1,604.13
Alabama
$1,604.10$1,604.10
Kansas
$1,599.35$1,599.35
Idaho
$1,597.61$1,597.61
Minnesota
$1,595.13$1,595.13
South Dakota
$1,593.84$1,593.84
Arkansas
$1,583.35$1,583.35
Iowa
$1,574.66$1,574.66
Nebraska
$1,572.83$1,572.83
Wisconsin
$1,568.42$1,568.42

Billed by 1 specialties

Commercial rates for 43633

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates