# CPT 67025: Inj Substitute Pars Plana/limbl W/wo Aspir Spx

Medicare 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.

Web page: https://www.med-reveal.com/rates/67025-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $742.50 |
| National facility | $540.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $895.05 | $679.48 |
| District of Columbia | $840.56 | $602.12 |
| California | $826.35 | $586.85 |
| New Jersey | $815.47 | $587.56 |
| New York | $815.37 | $589.56 |
| Washington | $810.52 | $579.77 |
| Massachusetts | $803.31 | $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 | $532.96 |
| Maine | $714.41 | $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 | $703.67 | $518.87 |
| 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 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 67025 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
