# CPT 67028: Intravitreal Njx Pharmacologic Agt Spx

Medicare CPT 67028 pays $114.23 in a non-facility setting and $75.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $103.45 in Arkansas to $140.11 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/67028-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $114.23 |
| National facility | $75.49 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $140.11 | $98.85 |
| District of Columbia | $128.53 | $82.89 |
| California | $125.92 | $80.07 |
| New York | $125.14 | $81.92 |
| New Jersey | $124.98 | $81.35 |
| Washington | $123.86 | $79.69 |
| Massachusetts | $122.87 | $79.34 |
| Hawaii | $121.42 | $77.37 |
| Connecticut | $120.85 | $79.12 |
| Colorado | $118.07 | $76.85 |
| Florida | $117.92 | $79.05 |
| Maryland | $117.84 | $77.44 |
| Oregon | $117.00 | $76.18 |
| Rhode Island | $116.83 | $76.80 |
| New Hampshire | $116.39 | $76.05 |
| Illinois | $115.59 | $78.16 |
| Puerto Rico | $114.88 | $75.71 |
| Virgin Islands | $114.88 | $75.71 |
| Montana | $114.22 | $75.48 |
| Nevada | $113.68 | $74.90 |
| Pennsylvania | $113.60 | $75.65 |
| Minnesota | $113.49 | $73.63 |
| Delaware | $113.33 | $75.05 |
| Wyoming | $113.28 | $74.53 |
| Texas | $113.24 | $75.09 |
| Georgia | $112.09 | $75.13 |
| Virginia | $112.07 | $73.98 |
| North Dakota | $112.05 | $73.30 |
| Michigan | $111.84 | $75.46 |
| South Dakota | $111.79 | $73.05 |
| Vermont | $111.78 | $73.42 |
| Arizona | $111.72 | $74.18 |
| Utah | $110.03 | $73.61 |
| Maine | $110.02 | $73.00 |
| New Mexico | $109.67 | $74.15 |
| Wisconsin | $109.01 | $71.89 |
| Missouri | $108.92 | $73.36 |
| Louisiana | $108.85 | $73.48 |
| South Carolina | $108.83 | $73.03 |
| Ohio | $108.71 | $73.34 |
| North Carolina | $108.63 | $72.48 |
| Indiana | $107.69 | $71.77 |
| West Virginia | $107.46 | $73.79 |
| Idaho | $107.19 | $71.55 |
| Nebraska | $107.03 | $71.27 |
| Kentucky | $106.84 | $72.39 |
| Tennessee | $106.72 | $71.51 |
| Iowa | $106.59 | $71.14 |
| Oklahoma | $106.59 | $71.99 |
| Kansas | $106.28 | $71.26 |
| Alabama | $104.66 | $70.76 |
| Mississippi | $104.40 | $71.05 |
| Arkansas | $103.45 | $70.17 |

## 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 67028 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