CPT 66225

Repair Scleral Staphyloma W/Graft

CPT 66225 pays $793.27 in a non-facility setting and $793.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $727.90 in Arkansas to $1,006.52 in Alaska, a 38% spread.

National non-facility rate

$793.27

Office and other outpatient settings

Facility rate
$793.27

Hospital and ASC settings

Highest state
$1,006.52

Alaska

Lowest state
$727.90

Arkansas · 38% 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 $793.27
CPT 66225 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $793.27, national facility $793.27.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,006.52$1,006.52
District of Columbia
$881.32$881.32
New York
$865.08$865.08
New Jersey
$861.14$861.14
California
$856.63$856.63
Washington
$847.99$847.99
Massachusetts
$842.83$842.83
Connecticut
$835.36$835.36
Hawaii
$826.98$826.98
Florida
$826.05$826.05
Maryland
$816.03$816.03
Illinois
$813.37$813.37
Colorado
$813.21$813.21
Rhode Island
$808.98$808.98
Oregon
$805.98$805.98
New Hampshire
$803.39$803.39
Puerto Rico
$796.61$796.61
Virgin Islands
$796.61$796.61
Montana
$793.20$793.20
Pennsylvania
$792.13$792.13
Nevada
$788.04$788.04
Delaware
$787.77$787.77
Texas
$787.75$787.75
Michigan
$785.61$785.61
Wyoming
$784.59$784.59
Georgia
$784.41$784.41
Minnesota
$779.87$779.87
Arizona
$777.65$777.65
Virginia
$777.52$777.52
North Dakota
$773.43$773.43
Vermont
$773.28$773.28
South Dakota
$771.09$771.09
New Mexico
$771.04$771.04
Utah
$768.94$768.94
Maine
$765.28$765.28
Louisiana
$764.50$764.50
Missouri
$764.04$764.04
Ohio
$763.20$763.20
West Virginia
$761.99$761.99
South Carolina
$761.76$761.76
North Carolina
$757.85$757.85
Wisconsin
$755.51$755.51
Kentucky
$751.73$751.73
Indiana
$750.65$750.65
Oklahoma
$748.51$748.51
Idaho
$747.77$747.77
Tennessee
$746.07$746.07
Nebraska
$745.65$745.65
Iowa
$743.49$743.49
Kansas
$743.23$743.23
Mississippi
$736.08$736.08
Alabama
$735.19$735.19
Arkansas
$727.90$727.90

Billed by 1 specialties

Commercial rates for 66225

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

See negotiated rates