CPT 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

CPT 67025 pays $742.50 in a non-facility setting and $540.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $667.94 in Arkansas to $895.05 in Alaska, a 34% spread.

National non-facility rate

$742.50

Office and other outpatient settings

Facility rate
$540.09

Hospital and ASC settings

Highest state
$895.05

Alaska

Lowest state
$667.94

Arkansas · 34% 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 $742.50
CPT 67025 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $742.50, national facility $540.09.
StateRate compared visuallyNon-facilityFacility
Alaska
$895.05$679.48
District of Columbia
$840.56$602.12
California
$826.36$586.85
New Jersey
$815.47$587.56
New York
$815.37$589.56
Washington
$810.52$579.77
Massachusetts
$803.30$575.90
Hawaii
$796.47$566.33
Connecticut
$787.37$569.37
Colorado
$770.42$555.06
Maryland
$766.99$555.98
Florida
$763.63$560.55
Oregon
$763.37$550.13
Rhode Island
$760.39$551.30
New Hampshire
$758.67$547.97
Puerto Rico
$747.22$542.59
Virgin Islands
$747.22$542.59
Illinois
$746.85$551.27
Montana
$742.46$540.05
Minnesota
$741.19$532.91
Nevada
$739.50$536.89
Wyoming
$737.12$534.71
Pennsylvania
$736.93$538.67
Delaware
$736.24$536.26
Texas
$735.39$536.12
North Dakota
$730.20$527.79
South Dakota
$728.75$526.34
Virginia
$728.63$529.67
Vermont
$727.70$527.31
Georgia
$725.92$532.82
Arizona
$725.33$529.20
Michigan
$723.03$532.97
Maine
$714.40$521.00
Utah
$712.93$522.67
Wisconsin
$708.95$515.04
New Mexico
$708.68$523.07
South Carolina
$704.62$517.59
Missouri
$704.50$518.76
North Carolina
$704.37$515.52
Louisiana
$703.66$518.86
Ohio
$702.86$518.06
Indiana
$698.45$510.82
Idaho
$694.98$508.76
Nebraska
$694.39$507.56
West Virginia
$691.48$515.59
Tennessee
$691.27$507.28
Iowa
$691.12$505.91
Kentucky
$689.95$510.01
Oklahoma
$688.92$508.17
Kansas
$688.30$505.32
Alabama
$676.32$499.21
Mississippi
$673.49$499.22
Arkansas
$667.94$494.07

Billed by 1 specialties

Commercial rates for 67025

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

See negotiated rates