CPT 65426

Excision/Transposition Pterygium W/Grafg

CPT 65426 pays $670.69 in a non-facility setting and $413.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $598.62 in Arkansas to $792.11 in Alaska, a 32% spread.

National non-facility rate

$670.69

Office and other outpatient settings

Facility rate
$413.17

Hospital and ASC settings

Highest state
$792.11

Alaska

Lowest state
$598.62

Arkansas · 32% 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 $670.69
CPT 65426 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $670.69, national facility $413.17.
StateRate compared visuallyNon-facilityFacility
Alaska
$792.11$517.85
District of Columbia
$764.64$461.28
California
$754.71$449.99
New Jersey
$739.85$449.88
New York
$738.53$451.24
Washington
$737.81$444.24
Massachusetts
$730.50$441.17
Hawaii
$727.00$434.20
Connecticut
$713.14$435.79
Colorado
$699.02$425.02
Maryland
$693.92$425.45
Oregon
$692.54$421.24
Rhode Island
$687.90$421.88
New Hampshire
$687.56$419.48
Florida
$686.76$428.38
Puerto Rico
$675.50$415.15
Virgin Islands
$675.50$415.15
Minnesota
$673.16$408.17
Montana
$670.66$413.14
Illinois
$669.91$421.08
Nevada
$668.58$410.80
Wyoming
$666.70$409.17
Delaware
$664.62$410.19
Pennsylvania
$664.13$411.89
Texas
$663.58$410.05
North Dakota
$661.56$404.04
South Dakota
$660.49$402.97
Vermont
$658.52$403.57
Virginia
$658.38$405.24
Arizona
$654.27$404.73
Georgia
$652.92$407.25
Michigan
$649.00$407.19
Maine
$644.56$398.50
Utah
$641.63$399.56
Wisconsin
$640.81$394.11
New Mexico
$635.74$399.60
North Carolina
$634.44$394.17
South Carolina
$633.56$395.61
Missouri
$632.72$396.40
Louisiana
$631.54$396.43
Ohio
$630.94$395.83
Indiana
$629.34$390.62
Idaho
$625.93$389.01
Nebraska
$625.85$388.16
Iowa
$622.47$386.84
Tennessee
$621.87$387.79
Kansas
$619.08$386.28
Kentucky
$618.52$389.58
Oklahoma
$618.23$388.26
West Virginia
$617.28$393.49
Alabama
$606.74$381.41
Mississippi
$602.98$381.26
Arkansas
$598.62$377.41

Billed by 1 specialties

Commercial rates for 65426

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

See negotiated rates