# CPT 66984: Extracapsular cataract removal with insertion of IOL, one stage

Medicare CPT 66984 pays $462.60 in a non-facility setting and $462.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $424.94 in Arkansas to $587.58 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/66984-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $462.60 |
| National facility | $462.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $587.58 | $587.58 |
| District of Columbia | $514.08 | $514.08 |
| New York | $504.15 | $504.15 |
| New Jersey | $502.27 | $502.27 |
| California | $500.51 | $500.51 |
| Washington | $495.05 | $495.05 |
| Massachusetts | $491.93 | $491.93 |
| Connecticut | $486.97 | $486.97 |
| Hawaii | $483.11 | $483.11 |
| Florida | $480.36 | $480.36 |
| Maryland | $475.83 | $475.83 |
| Colorado | $474.65 | $474.65 |
| Illinois | $472.95 | $472.95 |
| Rhode Island | $471.97 | $471.97 |
| Oregon | $470.51 | $470.51 |
| New Hampshire | $468.76 | $468.76 |
| Puerto Rico | $464.59 | $464.59 |
| Virgin Islands | $464.59 | $464.59 |
| Montana | $462.57 | $462.57 |
| Pennsylvania | $461.80 | $461.80 |
| Nevada | $459.80 | $459.80 |
| Delaware | $459.52 | $459.52 |
| Texas | $459.46 | $459.46 |
| Wyoming | $457.91 | $457.91 |
| Michigan | $457.45 | $457.45 |
| Georgia | $457.08 | $457.08 |
| Minnesota | $455.85 | $455.85 |
| Virginia | $453.81 | $453.81 |
| Arizona | $453.65 | $453.65 |
| North Dakota | $451.89 | $451.89 |
| Vermont | $451.64 | $451.64 |
| South Dakota | $450.63 | $450.63 |
| New Mexico | $449.21 | $449.21 |
| Utah | $448.46 | $448.46 |
| Maine | $446.74 | $446.74 |
| Louisiana | $445.61 | $445.61 |
| Missouri | $445.43 | $445.43 |
| Ohio | $444.90 | $444.90 |
| South Carolina | $444.31 | $444.31 |
| West Virginia | $443.51 | $443.51 |
| North Carolina | $442.35 | $442.35 |
| Wisconsin | $441.51 | $441.51 |
| Indiana | $438.36 | $438.36 |
| Kentucky | $438.31 | $438.31 |
| Idaho | $436.69 | $436.69 |
| Oklahoma | $436.64 | $436.64 |
| Nebraska | $435.59 | $435.59 |
| Tennessee | $435.59 | $435.59 |
| Iowa | $434.29 | $434.29 |
| Kansas | $433.97 | $433.97 |
| Mississippi | $429.39 | $429.39 |
| Alabama | $429.14 | $429.14 |
| Arkansas | $424.94 | $424.94 |

## 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 66984 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