# CPT 66821: Discission of secondary membranous cataract (YAG laser)

Medicare CPT 66821 pays $335.35 in a non-facility setting and $275.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $300.87 in Arkansas to $401.23 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/66821-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $335.35 |
| National facility | $275.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $401.23 | $337.20 |
| District of Columbia | $380.70 | $309.88 |
| California | $375.06 | $303.91 |
| New Jersey | $368.95 | $301.25 |
| New York | $368.56 | $301.49 |
| Washington | $367.30 | $298.76 |
| Massachusetts | $363.86 | $296.31 |
| Hawaii | $361.39 | $293.03 |
| Connecticut | $355.94 | $291.19 |
| Colorado | $348.66 | $284.69 |
| Maryland | $346.61 | $283.93 |
| Oregon | $345.47 | $282.13 |
| Florida | $343.97 | $283.65 |
| Rhode Island | $343.68 | $281.57 |
| New Hampshire | $343.15 | $280.56 |
| Puerto Rico | $337.59 | $276.81 |
| Virgin Islands | $337.59 | $276.81 |
| Illinois | $336.06 | $277.97 |
| Minnesota | $335.72 | $273.86 |
| Montana | $335.33 | $275.21 |
| Nevada | $334.17 | $273.98 |
| Wyoming | $333.17 | $273.05 |
| Pennsylvania | $332.50 | $273.61 |
| Delaware | $332.47 | $273.07 |
| Texas | $332.02 | $272.83 |
| North Dakota | $330.39 | $270.26 |
| South Dakota | $329.80 | $269.68 |
| Virginia | $329.22 | $270.12 |
| Vermont | $329.06 | $269.54 |
| Arizona | $327.45 | $269.20 |
| Georgia | $327.23 | $269.88 |
| Michigan | $325.58 | $269.13 |
| Maine | $322.63 | $265.18 |
| Utah | $321.55 | $265.03 |
| Wisconsin | $320.50 | $262.91 |
| New Mexico | $319.11 | $263.98 |
| North Carolina | $317.87 | $261.78 |
| South Carolina | $317.69 | $262.14 |
| Missouri | $317.45 | $262.28 |
| Louisiana | $316.97 | $262.08 |
| Ohio | $316.64 | $261.75 |
| Indiana | $315.30 | $259.57 |
| Idaho | $313.68 | $258.37 |
| Nebraska | $313.54 | $258.04 |
| Iowa | $311.97 | $256.96 |
| Tennessee | $311.84 | $257.19 |
| Kentucky | $310.68 | $257.24 |
| West Virginia | $310.68 | $258.43 |
| Kansas | $310.49 | $256.14 |
| Oklahoma | $310.40 | $256.71 |
| Alabama | $304.75 | $252.14 |
| Mississippi | $303.17 | $251.41 |
| Arkansas | $300.87 | $249.23 |

## Related codes

- 65091: Evisceration of ocular contents — https://www.med-reveal.com/rates/65091-cpt-fee-schedule
- 65205: Removal of foreign body, external eye, conjunctival superficial — https://www.med-reveal.com/rates/65205-cpt-fee-schedule
- 65222: Removal of foreign body, external eye, corneal with slit lamp — https://www.med-reveal.com/rates/65222-cpt-fee-schedule
- 65400: Excision/transposition of pterygium — https://www.med-reveal.com/rates/65400-cpt-fee-schedule
- 65426: Excision/transposition of pterygium with graft — https://www.med-reveal.com/rates/65426-cpt-fee-schedule
- 65710: Keratoplasty (corneal transplant), anterior lamellar — https://www.med-reveal.com/rates/65710-cpt-fee-schedule
- 65730: Keratoplasty, penetrating, in aphakia — https://www.med-reveal.com/rates/65730-cpt-fee-schedule
- 65750: Keratoplasty, penetrating, in pseudophakia — https://www.med-reveal.com/rates/65750-cpt-fee-schedule

Commercial negotiated rates for 66821 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules