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See a sample rate comparisonCPT 19297 Fee Schedule
Medicare rates as of October 2026
CPT 19297 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $83.17 national non-facility rate (2026) · View Medicare rates for 19297 |
| Medicaid Fee Schedule | $64.71 median of the 8 states in the free preview · View Medicaid rates for 19297 |
National average reimbursement for CPT 19297 by major payers:
$133.87
BCBS / Anthem
$123.73
UnitedHealthcare
$120.48
Aetna
$161.29
Cigna
Compare published rates across providers.
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CPT 19297
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At St. Francis, LLC
The Endoscopy Center At St Francis LLC
$17,511.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$5,797.00Published rateArapahoe Surgicenter, LLC
$4,641.00Published rateSan Diego Ca Multi Specialty Asc LLC, Mission Valley Heights Surgery Center
Poway Ca Multi-Specialty Asc LLC
$2,800.00Published rateWest Wichita Family Physicians, P.A., West Wichita Surgery Center
West Wichita Family Physicians, P.A.
$819.00Published rate
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See a sample payer proposalCPT 19297 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 19297. 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 |
| 19301-CPT | Moderate | Removal Of Part Of A Breast, Surgery To Remove A Single Lump Or A Portion Of The Breast Tissue (Partial Mastectomy). Nearby Lymph Nodes Also May Be Removed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19297. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19297 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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