CPT code 38205: Stem cell collection, allogeneic, blood-derived2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $71.68 for 38205 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38205 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 38205 covers

Code 38205 represents collection of blood-derived hematopoietic progenitor cells from a donor for an allogeneic transplant. Apheresis staff collect circulating cells from the donor’s blood, commonly after mobilization, in a hospital-based collection setting under the transplant or hematology team. This is the blood collection service, not a bone marrow harvest or the recipient’s transplant procedure.

Select this code for an allogeneic blood collection, rather than an autologous collection or marrow harvest. Document the donor, collection method and date, and transplant context. Medicare pays only in specific circumstances. The 0-day global includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 38205

Across 109 of 109 payment localities, the facility rate for 38205 runs from $65.06 in Arkansas to $93.12 in Alaska. Connecticut pays $71.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38205 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 38205 in every payment locality

How the 38205 rate is calculated

Each of 38205’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 38205

The CMS indicators that decide how 38205 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 38205

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 38205 has changed in Connecticut

Price 38205 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates