Medicare Reimbursement for CPT 19340

CPT 19340 is a procedure code billed under Medicare Part B; this page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount, both nationally and adjusted for locality, under non-facility and facility settings. These figures reflect standard Medicare PFS pricing before any adjustments for modifiers, sequestration, or secondary payer rules.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$701.08	$701.08
ALASKA* (AK)	$860.64	$860.64
ALABAMA (AL)	$635.37	$635.37
ARKANSAS (AR)	$627.27	$627.27
ARIZONA (AZ)	$682.35	$682.35
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$814.87	$814.87
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$827.48	$827.48
OXNARD-THOUSAND OAKS-VENTURA (CA)	$738.58	$738.58
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$746.07	$746.07
NAPA (CA)	$782.60	$782.60
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$817.16	$817.16
VALLEJO (CA)	$779.31	$779.31
BAKERSFIELD (CA)	$709.41	$709.41
CHICO (CA)	$703.83	$703.83
FRESNO (CA)	$703.83	$703.83
HANFORD-CORCORAN (CA)	$703.83	$703.83
MADERA (CA)	$703.83	$703.83
MERCED (CA)	$703.83	$703.83
MODESTO (CA)	$703.83	$703.83
REDDING (CA)	$703.83	$703.83
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$725.45	$725.45
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$729.92	$729.92
SALINAS (CA)	$727.04	$727.04
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$836.81	$836.81
SANTA CRUZ-WATSONVILLE (CA)	$740.01	$740.01
SANTA ROSA-PETALUMA (CA)	$746.89	$746.89
STOCKTON (CA)	$703.83	$703.83
VISALIA (CA)	$703.83	$703.83
YUBA CITY (CA)	$703.83	$703.83
EL CENTRO (CA)	$704.16	$704.16
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$737.93	$737.93
SAN LUIS OBISPO-PASO ROBLES (CA)	$716.41	$716.41
SANTA MARIA-SANTA BARBARA (CA)	$728.06	$728.06
REST OF CALIFORNIA (CA)	$703.83	$703.83
COLORADO (CO)	$709.20	$709.20
CONNECTICUT (CT)	$744.54	$744.54
DC + MD/VA SUBURBS (DC)	$779.19	$779.19
DELAWARE (DE)	$692.50	$692.50
FORT LAUDERDALE (FL)	$759.13	$759.13
MIAMI (FL)	$815.73	$815.73
REST OF FLORIDA (FL)	$721.98	$721.98
ATLANTA (GA)	$720.28	$720.28
REST OF GEORGIA (GA)	$682.38	$682.38
HAWAII, GUAM (HI)	$712.91	$712.91
IOWA (IA)	$635.73	$635.73
IDAHO (ID)	$642.30	$642.30
EAST ST. LOUIS (IL)	$745.75	$745.75
SUBURBAN CHICAGO (IL)	$763.20	$763.20
CHICAGO (IL)	$791.88	$791.88
REST OF ILLINOIS (IL)	$713.43	$713.43
INDIANA (IN)	$645.22	$645.22
KANSAS (KS)	$639.70	$639.70
KENTUCKY (KY)	$662.90	$662.90
NEW ORLEANS (LA)	$692.95	$692.95
REST OF LOUISIANA (LA)	$664.62	$664.62
METROPOLITAN BOSTON (MA)	$764.46	$764.46
REST OF MASSACHUSETTS (MA)	$708.43	$708.43
BALTIMORE/SURR. CNTYS (MD)	$743.82	$743.82
REST OF MARYLAND (MD)	$702.50	$702.50
SOUTHERN MAINE (ME)	$673.68	$673.68
REST OF MAINE (ME)	$652.30	$652.30
DETROIT (MI)	$736.90	$736.90
REST OF MICHIGAN (MI)	$684.29	$684.29
MINNESOTA (MN)	$662.31	$662.31
METROPOLITAN ST. LOUIS (MO)	$687.17	$687.17
METROPOLITAN KANSAS CITY (MO)	$681.69	$681.69
REST OF MISSOURI (MO)	$658.96	$658.96
MISSISSIPPI (MS)	$642.89	$642.89
MONTANA** (MT)	$700.95	$700.95
NORTH CAROLINA (NC)	$657.25	$657.25
NORTH DAKOTA** (ND)	$661.21	$661.21
NEBRASKA (NE)	$636.80	$636.80
NEW HAMPSHIRE (NH)	$704.69	$704.69
NORTHERN NJ (NJ)	$773.97	$773.97
REST OF NEW JERSEY (NJ)	$748.17	$748.17
NEW MEXICO (NM)	$690.29	$690.29
NEVADA** (NV)	$690.17	$690.17
MANHATTAN (NY)	$809.67	$809.67
NYC SUBURBS/LONG ISLAND (NY)	$835.77	$835.77
POUGHKPSIE/N NYC SUBURBS (NY)	$758.34	$758.34
QUEENS (NY)	$805.86	$805.86
REST OF NEW YORK (NY)	$666.52	$666.52
OHIO (OH)	$676.17	$676.17
OKLAHOMA (OK)	$654.81	$654.81
PORTLAND (OR)	$721.84	$721.84
REST OF OREGON (OR)	$679.98	$679.98
METROPOLITAN PHILADELPHIA (PA)	$732.18	$732.18
REST OF PENNSYLVANIA (PA)	$673.40	$673.40
PUERTO RICO (PR)	$703.30	$703.30
RHODE ISLAND (RI)	$709.98	$709.98
SOUTH CAROLINA (SC)	$668.78	$668.78
SOUTH DAKOTA** (SD)	$656.51	$656.51
TENNESSEE (TN)	$643.38	$643.38
BRAZORIA (TX)	$686.41	$686.41
DALLAS (TX)	$693.45	$693.45
GALVESTON (TX)	$690.22	$690.22
HOUSTON (TX)	$727.01	$727.01
BEAUMONT (TX)	$669.98	$669.98
FORT WORTH (TX)	$691.40	$691.40
AUSTIN (TX)	$711.08	$711.08
REST OF TEXAS (TX)	$679.65	$679.65
UTAH (UT)	$676.68	$676.68
VIRGINIA (VA)	$676.37	$676.37
VIRGIN ISLANDS (VI)	$703.30	$703.30
VERMONT (VT)	$664.99	$664.99
SEATTLE (KING CNTY) (WA)	$772.29	$772.29
REST OF WASHINGTON (WA)	$704.98	$704.98
WISCONSIN (WI)	$642.34	$642.34
WEST VIRGINIA (WV)	$691.69	$691.69
WYOMING** (WY)	$683.63	$683.63

Look up another code or locality →

Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

The Medicare PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, accounting for regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility rates can differ because practice-expense RVUs are typically higher in non-facility settings (e.g., a physician's office) where the provider bears more overhead costs, compared to facility settings (e.g., a hospital) where the facility absorbs some of those costs.

RVUs — work 10.22, practice expense 8.76 (non-facility) / 8.76 (facility), malpractice 2.01 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets their Part B deductible; the patient or secondary payer is responsible for the remainder.
Actual payment can vary based on locality, applicable modifiers, claim-specific circumstances, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and coverage policies with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why do the non-facility and facility amounts differ for this code?

They differ when the practice-expense RVU component is calculated differently for each setting, reflecting who bears the overhead cost — the billing provider's practice or the facility. For some codes the two amounts can be the same if overhead is treated similarly in both settings.

Does this amount reflect what the patient will owe?

No. The figure shown is the Medicare-allowed amount. The patient is typically responsible for any unmet deductible plus 20% coinsurance, unless supplemental coverage applies.

Will this exact amount be paid in my state?

Not necessarily. The national amount is a baseline; actual payment is adjusted by locality-specific GPCIs, which can raise or lower the amount compared to the national figure.

Can modifiers change this amount?

Yes. Certain modifiers (e.g., bilateral, reduced services, multiple procedures) can increase or decrease the final paid amount relative to the base PFS rate shown here.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.