# CPT 96405: Chemotherapy Administration Intralesional </7

Medicare CPT 96405 pays $84.50 in a non-facility setting and $23.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $74.69 in Arkansas to $97.33 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/96405-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Hematology & Oncology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $84.50 |
| National facility | $23.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $97.33 | $25.72 |
| Alaska | $97.04 | $32.30 |
| California | $96.79 | $24.86 |
| Washington | $94.10 | $24.80 |
| New Jersey | $93.82 | $25.37 |
| New York | $93.33 | $25.52 |
| Hawaii | $93.14 | $24.02 |
| Massachusetts | $93.01 | $24.71 |
| Connecticut | $90.15 | $24.68 |
| Colorado | $88.73 | $24.05 |
| Oregon | $87.91 | $23.87 |
| Maryland | $87.62 | $24.25 |
| New Hampshire | $87.09 | $23.81 |
| Rhode Island | $86.91 | $24.11 |
| Minnesota | $85.72 | $23.16 |
| Florida | $85.67 | $24.68 |
| Puerto Rico | $85.22 | $23.76 |
| Virgin Islands | $85.22 | $23.76 |
| Montana | $84.50 | $23.71 |
| Nevada | $84.40 | $23.55 |
| Wyoming | $84.24 | $23.45 |
| North Dakota | $83.91 | $23.12 |
| South Dakota | $83.84 | $23.05 |
| Delaware | $83.70 | $23.64 |
| Texas | $83.50 | $23.66 |
| Pennsylvania | $83.38 | $23.83 |
| Vermont | $83.35 | $23.17 |
| Illinois | $83.25 | $24.51 |
| Virginia | $83.09 | $23.33 |
| Arizona | $82.31 | $23.40 |
| Georgia | $81.69 | $23.69 |
| Maine | $81.19 | $23.11 |
| Wisconsin | $81.03 | $22.80 |
| Michigan | $80.88 | $23.80 |
| Utah | $80.43 | $23.29 |
| North Carolina | $79.71 | $22.99 |
| South Carolina | $79.33 | $23.16 |
| New Mexico | $79.22 | $23.47 |
| Indiana | $79.16 | $22.81 |
| Missouri | $79.04 | $23.26 |
| Louisiana | $78.80 | $23.30 |
| Nebraska | $78.79 | $22.68 |
| Ohio | $78.76 | $23.26 |
| Idaho | $78.69 | $22.76 |
| Iowa | $78.28 | $22.66 |
| Tennessee | $78.02 | $22.76 |
| Kansas | $77.66 | $22.70 |
| Oklahoma | $77.20 | $22.92 |
| Kentucky | $77.08 | $23.04 |
| West Virginia | $76.27 | $23.45 |
| Alabama | $75.80 | $22.61 |
| Mississippi | $75.05 | $22.71 |
| Arkansas | $74.69 | $22.48 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 96405 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
