# CPT 49421: Insertion Tunnel Intraperitoneal Cath Dial Open

Medicare CPT 49421 pays $206.75 in a non-facility setting and $206.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $181.46 in Wisconsin to $262.08 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/49421-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $206.75 |
| National facility | $206.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $262.08 | $262.08 |
| Florida | $239.44 | $239.44 |
| Illinois | $237.38 | $237.38 |
| New York | $229.71 | $229.71 |
| District of Columbia | $224.34 | $224.34 |
| New Jersey | $221.10 | $221.10 |
| Connecticut | $219.44 | $219.44 |
| Michigan | $218.61 | $218.61 |
| West Virginia | $216.94 | $216.94 |
| Maryland | $212.70 | $212.70 |
| Georgia | $212.08 | $212.08 |
| New Mexico | $210.73 | $210.73 |
| Massachusetts | $209.65 | $209.65 |
| Pennsylvania | $209.64 | $209.64 |
| Washington | $208.77 | $208.77 |
| Rhode Island | $206.81 | $206.81 |
| Montana | $206.68 | $206.68 |
| Puerto Rico | $206.62 | $206.62 |
| Virgin Islands | $206.62 | $206.62 |
| Louisiana | $205.29 | $205.29 |
| Texas | $204.51 | $204.51 |
| Ohio | $203.95 | $203.95 |
| New Hampshire | $203.90 | $203.90 |
| Delaware | $203.54 | $203.54 |
| Missouri | $203.30 | $203.30 |
| Colorado | $203.13 | $203.13 |
| California | $202.40 | $202.40 |
| Utah | $201.12 | $201.12 |
| Nevada | $201.04 | $201.04 |
| Arizona | $200.70 | $200.70 |
| Oregon | $200.23 | $200.23 |
| Kentucky | $199.90 | $199.90 |
| South Carolina | $198.90 | $198.90 |
| Wyoming | $197.81 | $197.81 |
| Hawaii | $197.12 | $197.12 |
| Virginia | $196.04 | $196.04 |
| Oklahoma | $195.29 | $195.29 |
| Mississippi | $192.85 | $192.85 |
| Maine | $192.33 | $192.33 |
| North Carolina | $191.96 | $191.96 |
| Vermont | $189.40 | $189.40 |
| Tennessee | $187.60 | $187.60 |
| Alabama | $187.40 | $187.40 |
| Indiana | $186.48 | $186.48 |
| North Dakota | $186.32 | $186.32 |
| Kansas | $186.29 | $186.29 |
| Idaho | $185.79 | $185.79 |
| Arkansas | $185.07 | $185.07 |
| South Dakota | $183.91 | $183.91 |
| Minnesota | $183.56 | $183.56 |
| Iowa | $183.00 | $183.00 |
| Nebraska | $182.63 | $182.63 |
| Wisconsin | $181.46 | $181.46 |

## 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 49421 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