# CPT 49406: Image-guided fluid collection drainage, peritoneal/retroperitoneal, percutaneous

Medicare CPT 49406 pays $837.03 in a non-facility setting and $166.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $732.55 in Arkansas to $968.95 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/49406-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $837.03 |
| National facility | $166.67 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $968.95 | $179.27 |
| California | $962.23 | $169.02 |
| Alaska | $940.89 | $226.96 |
| Washington | $935.15 | $170.95 |
| New Jersey | $932.18 | $177.36 |
| New York | $928.32 | $180.48 |
| Hawaii | $926.03 | $163.83 |
| Massachusetts | $924.10 | $170.95 |
| Connecticut | $895.92 | $173.94 |
| Colorado | $879.85 | $166.59 |
| Oregon | $871.25 | $165.03 |
| Maryland | $869.25 | $170.40 |
| New Hampshire | $863.68 | $165.83 |
| Rhode Island | $860.85 | $168.37 |
| Florida | $852.62 | $180.03 |
| Minnesota | $847.24 | $157.44 |
| Puerto Rico | $844.44 | $166.71 |
| Virgin Islands | $844.44 | $166.71 |
| Montana | $837.00 | $166.64 |
| Nevada | $835.38 | $164.35 |
| Wyoming | $833.38 | $163.02 |
| North Dakota | $828.69 | $158.34 |
| Delaware | $827.95 | $165.64 |
| South Dakota | $827.71 | $157.36 |
| Illinois | $826.88 | $179.15 |
| Texas | $826.01 | $166.04 |
| Pennsylvania | $824.97 | $168.35 |
| Vermont | $823.17 | $159.52 |
| Virginia | $821.13 | $162.17 |
| Arizona | $813.53 | $163.96 |
| Georgia | $808.11 | $168.60 |
| Maine | $800.96 | $160.44 |
| Michigan | $800.49 | $171.02 |
| Wisconsin | $798.22 | $156.02 |
| Utah | $794.03 | $163.90 |
| North Carolina | $785.55 | $160.11 |
| New Mexico | $782.35 | $167.63 |
| South Carolina | $782.27 | $162.87 |
| Missouri | $779.77 | $164.61 |
| Indiana | $779.25 | $157.83 |
| Louisiana | $777.42 | $165.39 |
| Ohio | $776.87 | $164.84 |
| Nebraska | $774.96 | $156.22 |
| Idaho | $774.21 | $157.49 |
| Iowa | $769.68 | $156.31 |
| Tennessee | $767.49 | $158.14 |
| Kansas | $763.57 | $157.56 |
| Oklahoma | $759.78 | $161.15 |
| Kentucky | $758.94 | $162.99 |
| West Virginia | $752.32 | $169.79 |
| Alabama | $744.35 | $157.78 |
| Mississippi | $737.08 | $159.90 |
| Arkansas | $732.55 | $156.71 |

## Related codes

- 36901: Introduction of needle/catheter, dialysis circuit, imaging, diagnostic — https://www.med-reveal.com/rates/36901-cpt-fee-schedule
- 36902: Dialysis circuit, transluminal balloon angioplasty — https://www.med-reveal.com/rates/36902-cpt-fee-schedule
- 36905: Dialysis circuit, transluminal balloon angioplasty and thrombectomy — https://www.med-reveal.com/rates/36905-cpt-fee-schedule
- 37184: Primary percutaneous transluminal mechanical thrombectomy, non-coronary, initial vessel — https://www.med-reveal.com/rates/37184-cpt-fee-schedule
- 37191: Insertion of intravascular vena cava filter — https://www.med-reveal.com/rates/37191-cpt-fee-schedule
- 37193: Retrieval of intravascular vena cava filter, endovascular approach — https://www.med-reveal.com/rates/37193-cpt-fee-schedule
- 37211: Transcatheter thrombolytic infusion, arterial, initial treatment day — https://www.med-reveal.com/rates/37211-cpt-fee-schedule
- 37241: Vascular embolization/occlusion, venous — https://www.med-reveal.com/rates/37241-cpt-fee-schedule

Commercial negotiated rates for 49406 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