CPT 65400

Excision Lesion Cornea Xcp Pterygium

CPT 65400 pays $698.41 in a non-facility setting and $523.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $627.47 in Arkansas to $839.72 in Alaska, a 34% spread.

National non-facility rate

$698.41

Office and other outpatient settings

Facility rate
$523.39

Hospital and ASC settings

Highest state
$839.72

Alaska

Lowest state
$627.47

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $698.41
CPT 65400 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $698.41, national facility $523.39.
StateRate compared visuallyNon-facilityFacility
Alaska
$839.72$653.32
District of Columbia
$791.15$584.98
California
$777.57$570.47
New York
$767.39$572.13
New Jersey
$767.35$570.28
Washington
$762.66$563.14
Massachusetts
$755.86$559.22
Hawaii
$749.46$550.46
Connecticut
$740.94$552.44
Colorado
$724.74$538.52
Maryland
$721.59$539.13
Florida
$718.83$543.23
Oregon
$718.06$533.67
Rhode Island
$715.22$534.42
New Hampshire
$713.71$531.51
Puerto Rico
$702.89$525.94
Virgin Islands
$702.89$525.94
Illinois
$702.87$533.76
Montana
$698.37$523.35
Minnesota
$696.90$516.80
Nevada
$695.50$520.30
Wyoming
$693.20$518.18
Pennsylvania
$693.09$521.66
Delaware
$692.40$519.48
Texas
$691.60$519.29
North Dakota
$686.51$511.49
Virginia
$685.14$513.09
South Dakota
$685.11$510.09
Vermont
$684.17$510.90
Georgia
$682.74$515.77
Arizona
$682.07$512.47
Michigan
$680.09$515.75
Maine
$671.61$504.37
Utah
$670.32$505.80
New Mexico
$666.40$505.91
Wisconsin
$666.31$498.64
South Carolina
$662.41$500.69
Missouri
$662.35$501.74
North Carolina
$662.09$498.79
Louisiana
$661.58$501.78
Ohio
$660.80$501.00
Indiana
$656.41$494.17
Idaho
$653.11$492.10
Nebraska
$652.51$490.97
West Virginia
$650.17$498.08
Tennessee
$649.62$490.53
Iowa
$649.42$489.28
Kentucky
$648.51$492.92
Oklahoma
$647.48$491.19
Kansas
$646.79$488.57
Alabama
$635.44$482.30
Mississippi
$632.83$482.13
Arkansas
$627.47$477.13

Billed by 1 specialties

Commercial rates for 65400

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates