CPT code 38206: Stem cell collection, autologous, blood-derived2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $64.73 for 38206 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38206 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 38206 covers

This service represents collection of a patient’s own blood-derived stem cells for a planned transplant. Collection commonly occurs by apheresis in a hospital or outpatient collection unit after the transplant team arranges mobilization of cells into the bloodstream. A transplant physician, hematologist, or apheresis team may be involved. This is distinct from harvesting marrow directly from bone.

Report 38206 per collection, with documentation identifying the patient’s own cells, the transplant purpose, and the collection session. CMS restricts payment to specific circumstances. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in the same session, the highest-valued procedure is paid in full and others receive the standard multiple-procedure reduction. 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 Wisconsin compares for 38206

Across 109 of 109 payment localities, the facility rate for 38206 runs from $63.80 in Arkansas to $91.52 in Alaska. Wisconsin pays $64.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38206 rates by state

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

See 38206 in every payment locality

How the 38206 rate is calculated

Each of 38206’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 38206

The CMS indicators that decide how 38206 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 38206

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

How 38206 has changed in Wisconsin

Price 38206 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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