CPT 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

CPT 43634 pays $1,961.97 in a non-facility setting and $1,961.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,721.91 in Wisconsin to $2,444.19 in Alaska, a 42% spread.

National non-facility rate

$1,961.97

Office and other outpatient settings

Facility rate
$1,961.97

Hospital and ASC settings

Highest state
$2,444.19

Alaska

Lowest state
$1,721.91

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 $1,961.97
CPT 43634 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,961.97, national facility $1,961.97.
StateRate compared visuallyNon-facilityFacility
Alaska
$2,444.19$2,444.19
Florida
$2,266.07$2,266.07
Illinois
$2,242.18$2,242.18
New York
$2,185.40$2,185.40
District of Columbia
$2,142.48$2,142.48
New Jersey
$2,106.39$2,106.39
Connecticut
$2,087.55$2,087.55
Michigan
$2,064.82$2,064.82
West Virginia
$2,040.89$2,040.89
Maryland
$2,021.34$2,021.34
Georgia
$2,005.90$2,005.90
Massachusetts
$2,001.43$2,001.43
Washington
$1,995.00$1,995.00
New Mexico
$1,988.93$1,988.93
Pennsylvania
$1,985.55$1,985.55
Rhode Island
$1,964.94$1,964.94
Puerto Rico
$1,962.12$1,962.12
Virgin Islands
$1,962.12$1,962.12
Montana
$1,961.33$1,961.33
California
$1,940.76$1,940.76
New Hampshire
$1,940.43$1,940.43
Texas
$1,938.83$1,938.83
Louisiana
$1,937.91$1,937.91
Colorado
$1,935.03$1,935.03
Delaware
$1,930.26$1,930.26
Ohio
$1,925.44$1,925.44
Missouri
$1,919.97$1,919.97
Nevada
$1,909.04$1,909.04
Oregon
$1,907.17$1,907.17
Utah
$1,902.41$1,902.41
Arizona
$1,902.01$1,902.01
Hawaii
$1,888.94$1,888.94
Kentucky
$1,884.93$1,884.93
South Carolina
$1,879.88$1,879.88
Wyoming
$1,878.86$1,878.86
Virginia
$1,860.36$1,860.36
Oklahoma
$1,842.62$1,842.62
Maine
$1,822.59$1,822.59
North Carolina
$1,816.48$1,816.48
Mississippi
$1,816.10$1,816.10
Vermont
$1,799.57$1,799.57
Tennessee
$1,773.09$1,773.09
North Dakota
$1,772.10$1,772.10
Alabama
$1,767.09$1,767.09
Indiana
$1,764.88$1,764.88
Kansas
$1,760.30$1,760.30
Idaho
$1,757.58$1,757.58
Minnesota
$1,749.97$1,749.97
South Dakota
$1,749.72$1,749.72
Arkansas
$1,743.60$1,743.60
Iowa
$1,731.04$1,731.04
Nebraska
$1,728.56$1,728.56
Wisconsin
$1,721.91$1,721.91

Billed by 1 specialties

Commercial rates for 43634

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

See negotiated rates