# CPT 74340: Introduction of long gastrointestinal tube, fluoroscopic guidance

Medicare CPT 74340 pays $25.05 in a non-facility setting and $25.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $23.67 in Arkansas to $33.86 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/74340-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $25.05 |
| National facility | $25.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $33.86 | $33.86 |
| District of Columbia | $27.25 | $27.25 |
| New York | $26.98 | $26.98 |
| New Jersey | $26.85 | $26.85 |
| California | $26.39 | $26.39 |
| Washington | $26.29 | $26.29 |
| Massachusetts | $26.19 | $26.19 |
| Connecticut | $26.10 | $26.10 |
| Florida | $26.02 | $26.02 |
| Illinois | $25.81 | $25.81 |
| Maryland | $25.63 | $25.63 |
| Hawaii | $25.50 | $25.50 |
| Rhode Island | $25.49 | $25.49 |
| Colorado | $25.45 | $25.45 |
| Oregon | $25.26 | $25.26 |
| New Hampshire | $25.19 | $25.19 |
| Pennsylvania | $25.15 | $25.15 |
| Puerto Rico | $25.11 | $25.11 |
| Virgin Islands | $25.11 | $25.11 |
| Michigan | $25.08 | $25.08 |
| Montana | $25.05 | $25.05 |
| Georgia | $24.99 | $24.99 |
| Texas | $24.98 | $24.98 |
| Delaware | $24.96 | $24.96 |
| Nevada | $24.89 | $24.89 |
| Wyoming | $24.79 | $24.79 |
| New Mexico | $24.73 | $24.73 |
| Arizona | $24.71 | $24.71 |
| Virginia | $24.65 | $24.65 |
| West Virginia | $24.65 | $24.65 |
| Utah | $24.57 | $24.57 |
| Louisiana | $24.55 | $24.55 |
| Minnesota | $24.53 | $24.53 |
| Missouri | $24.51 | $24.51 |
| Ohio | $24.51 | $24.51 |
| Vermont | $24.49 | $24.49 |
| North Dakota | $24.46 | $24.46 |
| South Carolina | $24.42 | $24.42 |
| Maine | $24.39 | $24.39 |
| South Dakota | $24.39 | $24.39 |
| Kentucky | $24.26 | $24.26 |
| North Carolina | $24.26 | $24.26 |
| Oklahoma | $24.15 | $24.15 |
| Wisconsin | $24.09 | $24.09 |
| Indiana | $24.07 | $24.07 |
| Idaho | $24.01 | $24.01 |
| Tennessee | $24.01 | $24.01 |
| Kansas | $23.94 | $23.94 |
| Nebraska | $23.94 | $23.94 |
| Iowa | $23.91 | $23.91 |
| Mississippi | $23.91 | $23.91 |
| Alabama | $23.82 | $23.82 |
| Arkansas | $23.67 | $23.67 |

## Related codes

- 74190: Radiologic examination, peritoneogram — https://www.med-reveal.com/rates/74190-cpt-fee-schedule
- 74210: Radiologic examination, pharynx and/or cervical esophagus — https://www.med-reveal.com/rates/74210-cpt-fee-schedule
- 74220: Radiologic examination, esophagus, with contrast — https://www.med-reveal.com/rates/74220-cpt-fee-schedule
- 74230: Swallowing function evaluation with cineradiography/videoradiography — https://www.med-reveal.com/rates/74230-cpt-fee-schedule
- 74240: Radiologic examination, upper GI series, without small bowel — https://www.med-reveal.com/rates/74240-cpt-fee-schedule
- 74246: Radiologic examination, upper GI series, with air contrast — https://www.med-reveal.com/rates/74246-cpt-fee-schedule
- 74247: Radiologic examination, upper GI series with small bowel, single contrast — https://www.med-reveal.com/rates/74247-cpt-fee-schedule
- 74250: Radiologic examination, small bowel, single contrast — https://www.med-reveal.com/rates/74250-cpt-fee-schedule

Commercial negotiated rates for 74340 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