CPT 43752

Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce

CPT 43752 pays $34.40 in a non-facility setting and $34.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $32.11 in Wisconsin to $46.57 in Alaska, a 45% spread.

National non-facility rate

$34.40

Office and other outpatient settings

Facility rate
$34.40

Hospital and ASC settings

Highest state
$46.57

Alaska

Lowest state
$32.11

Wisconsin · 45% 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 $34.40
CPT 43752 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $34.40, national facility $34.40.
StateRate compared visuallyNon-facilityFacility
Alaska
$46.57$46.57
New York
$37.31$37.31
Florida
$37.27$37.27
District of Columbia
$37.06$37.06
Illinois
$37.06$37.06
New Jersey
$36.64$36.64
Connecticut
$35.95$35.95
Michigan
$35.32$35.32
Massachusetts
$35.30$35.30
Washington
$35.30$35.30
Maryland
$35.19$35.19
West Virginia
$35.04$35.04
California
$34.89$34.89
Georgia
$34.80$34.80
Pennsylvania
$34.75$34.75
Rhode Island
$34.74$34.74
New Mexico
$34.59$34.59
Puerto Rico
$34.41$34.41
Virgin Islands
$34.41$34.41
Montana
$34.40$34.40
Colorado
$34.38$34.38
Texas
$34.26$34.26
New Hampshire
$34.23$34.23
Delaware
$34.17$34.17
Louisiana
$34.11$34.11
Oregon
$34.05$34.05
Ohio
$33.99$33.99
Missouri
$33.94$33.94
Nevada
$33.91$33.91
Hawaii
$33.82$33.82
Arizona
$33.81$33.81
Utah
$33.80$33.80
Wyoming
$33.62$33.62
Kentucky
$33.59$33.59
South Carolina
$33.57$33.57
Virginia
$33.43$33.43
Oklahoma
$33.20$33.20
Maine
$33.06$33.06
North Carolina
$32.98$32.98
Mississippi
$32.92$32.92
Vermont
$32.87$32.87
North Dakota
$32.62$32.62
Tennessee
$32.56$32.56
Indiana
$32.49$32.49
Alabama
$32.47$32.47
Kansas
$32.43$32.43
Minnesota
$32.43$32.43
Idaho
$32.42$32.42
South Dakota
$32.41$32.41
Arkansas
$32.24$32.24
Iowa
$32.16$32.16
Nebraska
$32.15$32.15
Wisconsin
$32.11$32.11

Billed by 1 specialties

Commercial rates for 43752

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

See negotiated rates