How much does Medicare pay for CPT 26341?

Medicare allowed an average of $103.38 per service and paid $79.65 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $466.99, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 26341?

Manipulation of finger for connective tissue release following enzyme injection. It was billed 2,174 times to 1,595 Medicare beneficiaries by 98 providers in 2024.

Does 26341 pay differently in an office than a hospital?

Yes. The allowed amount averaged $105.75 in an office setting and $73.88 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 26341 most?

Hand Surgery, with 1,282 services from 58 clinicians. Next are Orthopedic Surgery, Plastic and Reconstructive Surgery, Ambulatory Surgical Center.

CPT 26341

Manipulation of finger for connective tissue release following enzyme injection

$103.38Medicare-allowed amount per service, averaged across 2,174 services

Providers submitted

$466.99

Asking price, not received

Medicare allowed

$103.38

The fee schedule figure

Medicare paid

$79.65

Balance is patient coinsurance

Providers submitted an average of $466.99 for this code and Medicare allowed $103.38 — 4.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $79.65 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $105.75
Hospital / facility: $73.88

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 2,012 services were billed in an office setting and 162 in a facility.

Services: 2,174
Beneficiaries: 1,595
Providers billing it: 98
Total allowed: $224,748

What Medicare pays for CPT 26341

Across 2,174 services billed by 98 providers to 1,595 beneficiaries, Medicare allowed an average of $103.38 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 26341

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	1,282	938	$105.45	58
Orthopedic Surgery	726	509	$98.64	31
Plastic and Reconstructive Surgery	131	114	$113.39	7
Ambulatory Surgical Center	23	22	$75.56	1
General Surgery	12	12	$113.10	1

26341 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	365	$101.23	$76.27	16
California	359	$116.37	$75.39	15
New York	170	$125.48	$78.82	9
Oregon	159	$84.07	$51.21	3
Massachusetts	131	$111.66	$74.88	4
Arizona	106	$107.70	$82.55	5
New Hampshire	88	$88.43	$59.93	4
South Carolina	64	$103.64	$79.99	3
Georgia	60	$101.57	$75.07	3
Ohio	54	$75.92	$51.79	3
South Dakota	52	$89.98	$71.28	2
North Carolina	50	$104.34	$84.71	3
Illinois	47	$110.17	$79.83	3
Kentucky	37	$92.00	$80.07	2
Montana	36	$104.37	$69.45	1
Washington	35	$95.33	$68.07	2
Delaware	34	$98.05	$67.69	2
Alabama	32	$84.24	$75.41	1
Pennsylvania	31	$113.49	$74.88	2
Indiana	28	$99.11	$78.14	2
New Jersey	27	$99.79	$67.88	1
Nebraska	21	$108.40	$90.48	1
Tennessee	21	$105.22	$92.25	1
Arkansas	21	$100.12	$77.81	1
Michigan	21	$102.21	$63.16	1
Louisiana	21	$74.99	$48.30	1
Texas	20	$94.89	$59.77	1
Maryland	19	$121.13	$95.27	1
Vermont	15	$64.85	$45.48	1
Connecticut	14	$116.60	$76.21	1
Missouri	13	$67.89	$66.04	1
Virginia	12	$108.25	$88.21	1
Iowa	11	$71.12	$62.02	1

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.