CPT 67043

Vitrectomy Pars Plana Remove Subretinal Membrane

CPT 67043 pays $1,004.70 in a non-facility setting and $1,004.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $927.56 in Arkansas to $1,293.56 in Alaska, a 39% spread.

National non-facility rate

$1,004.70

Office and other outpatient settings

Facility rate
$1,004.70

Hospital and ASC settings

Highest state
$1,293.56

Alaska

Lowest state
$927.56

Arkansas · 39% 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 $1,004.70
CPT 67043 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,004.70, national facility $1,004.70.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,293.56$1,293.56
District of Columbia
$1,110.34$1,110.34
New York
$1,093.11$1,093.11
New Jersey
$1,087.12$1,087.12
California
$1,076.57$1,076.57
Washington
$1,068.15$1,068.15
Massachusetts
$1,062.40$1,062.40
Connecticut
$1,055.71$1,055.71
Florida
$1,048.38$1,048.38
Hawaii
$1,039.71$1,039.71
Illinois
$1,034.19$1,034.19
Maryland
$1,032.24$1,032.24
Colorado
$1,026.86$1,026.86
Rhode Island
$1,023.61$1,023.61
Oregon
$1,017.89$1,017.89
New Hampshire
$1,015.22$1,015.22
Puerto Rico
$1,008.35$1,008.35
Virgin Islands
$1,008.35$1,008.35
Pennsylvania
$1,004.83$1,004.83
Montana
$1,004.61$1,004.61
Michigan
$998.96$998.96
Texas
$998.54$998.54
Delaware
$998.30$998.30
Nevada
$997.62$997.62
Georgia
$996.26$996.26
Wyoming
$993.06$993.06
Arizona
$986.07$986.07
Virginia
$984.86$984.86
Minnesota
$984.59$984.59
New Mexico
$981.07$981.07
Vermont
$978.66$978.66
North Dakota
$978.11$978.11
Utah
$976.55$976.55
South Dakota
$974.98$974.98
Louisiana
$972.60$972.60
West Virginia
$972.49$972.49
Missouri
$971.63$971.63
Ohio
$970.85$970.85
Maine
$970.49$970.49
South Carolina
$968.11$968.11
North Carolina
$962.20$962.20
Kentucky
$957.26$957.26
Wisconsin
$957.22$957.22
Indiana
$953.00$953.00
Oklahoma
$952.65$952.65
Idaho
$949.66$949.66
Tennessee
$948.20$948.20
Nebraska
$946.59$946.59
Kansas
$944.76$944.76
Iowa
$944.29$944.29
Mississippi
$938.37$938.37
Alabama
$936.13$936.13
Arkansas
$927.56$927.56

Billed by 1 specialties

Commercial rates for 67043

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

See negotiated rates