CPT 67005

Rmvl Vitreous Ant Appr Partial Removal

CPT 67005 pays $413.50 in a non-facility setting and $413.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $377.06 in Arkansas to $516.05 in Alaska, a 37% spread.

National non-facility rate

$413.50

Office and other outpatient settings

Facility rate
$413.50

Hospital and ASC settings

Highest state
$516.05

Alaska

Lowest state
$377.06

Arkansas · 37% 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 $413.50
CPT 67005 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $413.50, national facility $413.50.
StateRate compared visuallyNon-facilityFacility
Alaska
$516.05$516.05
District of Columbia
$462.36$462.36
New York
$451.90$451.90
California
$451.39$451.39
New Jersey
$450.67$450.67
Washington
$445.32$445.32
Massachusetts
$442.15$442.15
Connecticut
$436.41$436.41
Hawaii
$435.50$435.50
Florida
$428.42$428.42
Maryland
$425.95$425.95
Colorado
$425.74$425.74
Rhode Island
$422.35$422.35
Oregon
$421.94$421.94
Illinois
$420.89$420.89
New Hampshire
$420.10$420.10
Puerto Rico
$415.55$415.55
Virgin Islands
$415.55$415.55
Montana
$413.47$413.47
Pennsylvania
$412.03$412.03
Nevada
$411.20$411.20
Delaware
$410.46$410.46
Texas
$410.28$410.28
Wyoming
$409.60$409.60
Minnesota
$408.92$408.92
Georgia
$407.23$407.23
Michigan
$407.02$407.02
Virginia
$405.57$405.57
Arizona
$404.93$404.93
North Dakota
$404.58$404.58
Vermont
$404.01$404.01
South Dakota
$403.52$403.52
Utah
$399.56$399.56
New Mexico
$399.36$399.36
Maine
$398.69$398.69
Missouri
$396.25$396.25
Louisiana
$396.22$396.22
Ohio
$395.64$395.64
South Carolina
$395.54$395.54
Wisconsin
$394.42$394.42
North Carolina
$394.22$394.22
West Virginia
$392.90$392.90
Indiana
$390.68$390.68
Kentucky
$389.28$389.28
Idaho
$389.04$389.04
Nebraska
$388.23$388.23
Oklahoma
$388.03$388.03
Tennessee
$387.73$387.73
Iowa
$386.87$386.87
Kansas
$386.20$386.20
Alabama
$381.14$381.14
Mississippi
$380.84$380.84
Arkansas
$377.06$377.06

Billed by 1 specialties

Commercial rates for 67005

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

See negotiated rates