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See a sample rate comparisonCPT 19296 Fee Schedule
Medicare rates as of October 2026
CPT 19296 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Place Po Breast Cath For Rad, Placement Of Radiotherapy Afterloading Expandable Catheter Single Or Multichannel Into The Breast For Interstitial Radioelement Application Following Partial Mastectomy Includes Imaging Guidance On Date Separate From Partial Mastectomy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 58 - Staged or related procedure during postoperative period LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $3,993.41 national non-facility rate (2026) · View Medicare rates for 19296 |
| Medicaid Fee Schedule | $3,158.29 median of the 8 states in the free preview · View Medicaid rates for 19296 |
National average reimbursement for CPT 19296 by major payers:
$4,019.16
BCBS / Anthem
$5,177.32
UnitedHealthcare
$4,984.91
Aetna
$1,147.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 19296.
CPT 19296
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$9,182.00Published rateSurgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$6,087.00Published rateVero Beach Florida Asc LLC, Sebastian River Surgery Center
Vero Beach Florida Asc LLC
$4,070.00Published rateCenter For Assisted Reproduction Laboratory And Surgery Center, Inc.
Center For Assisted Reproduction Laboratory And Surgery Center Inc
$3,275.00Published rateRochester Surgery Center, P.C.
Rochester Surgery Center PC
$1,033.00Published rate
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See a sample payer proposalCPT 19296 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 19296. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 19296-CPT | High | Place Po Breast Cath For Rad, Placement Of Radiotherapy Afterloading Expandable Catheter Single Or Multichannel Into The Breast For Interstitial Radioelement Application Following Partial Mastectomy Includes Imaging Guidance On Date Separate From Partial Mastectomy |
| 19297-CPT | Low | Place Breast Cath For Rad, Placement Of Radiotherapy Afterloading Expandable Catheter (Single Or Multichannel) Into The Breast For Interstitial Radioelement Application Following Partial Mastectomy Includes Imaging Guidance; Concurrent With Partial Mastectomy (List Separately In Addition To Code For Primary Procedure) |
| 19298-CPT | High | Place Breast Rad Tube Caths, Placement Of Radiotherapy After Loading Brachytherapy Catheters Multiple Tube And Button Type Into The Breast For Interstitial Radioelement Application Following At The Time Of Or Subsequent To Partial Mastectomy Includes Imaging Guidance |
| 19357-CPT | High | Breast Reconstruction, Surgery To Reconstruct A Breast Or Nipple After A Mastectomy. The Procedure May Use Tissue Expanders Implants Skin Or Muscle Flaps Or Other Reconstructive Devices. Additional Procedures May Be Needed To Achieve The Desired Size Or Shape. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19296. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19296 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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