CPT 57426Surgery
Reimbursement by state
Revise prosth vag graft lap
Highest
$1,077.65
Alaska
Median
$833.41
across 53 states
Lowest
$771.31
Arkansas
Spread
40%
highest vs lowest
| Rank | State | Locality | Rate | vs Median |
|---|---|---|---|---|
| 1top | Alaska | Alaska | $1,077.65 | +29.3% |
| 2 | New York | Manhattanⓘ | $980.34 | +17.6% |
| 3 | Florida | Miamiⓘ | $967.59 | +16.1% |
| 4 | District of Columbia | Washington DC + MD/VA Suburbs | $949.48 | +13.9% |
| 5 | New Jersey | Northern NJ | $936.56 | +12.4% |
| 6 |
Methodology
Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.
Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.