CPT code 38240: Cell transplant, allogeneic, per donor2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $201.72 for 38240 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38240 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 38240 covers

Allogeneic hematopoietic cell transplantation transfers donor-derived blood-forming progenitor cells to a recipient, commonly following conditioning for hematologic malignancy or marrow failure. The graft may be obtained from bone marrow, peripheral blood, or cord blood. A transplant physician manages the recipient’s transplant; infusion is generally performed in a hospital setting.

Report 38240 for transplantation of allogeneic hematopoietic progenitor cells, per donor, rather than for an autologous transplant or a donor lymphocyte infusion. Documentation should establish that donor-derived progenitor cells were transplanted and identify the donor source and recipient service; collection alone is not this service. Medicare payment is restricted to specified circumstances, so apply the applicable coverage criteria. If multiple procedures subject to the standard multiple-procedure reduction occur in the same session, the highest-valued procedure is paid in full and each other procedure is paid at 50%.

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 Montana compares for 38240

Across 109 of 109 payment localities, the facility rate for 38240 runs from $188.79 in Arkansas to $267.23 in Alaska. Montana pays $201.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38240 rates by state

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

See 38240 in every payment locality

How the 38240 rate is calculated

Each of 38240’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 38240

The CMS indicators that decide how 38240 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 38240

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

How 38240 has changed in Montana

Price 38240 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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