# CPT 67101: Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Medicare CPT 67101 pays $335.35 in a non-facility setting and $245.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $301.13 in Arkansas to $402.22 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/67101-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $335.35 |
| National facility | $245.83 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $402.22 | $306.89 |
| District of Columbia | $380.35 | $274.90 |
| California | $374.45 | $268.53 |
| New Jersey | $368.74 | $267.95 |
| New York | $368.46 | $268.60 |
| Washington | $366.89 | $264.84 |
| Massachusetts | $363.51 | $262.94 |
| Hawaii | $360.84 | $259.06 |
| Connecticut | $355.83 | $259.42 |
| Colorado | $348.43 | $253.18 |
| Maryland | $346.54 | $253.23 |
| Oregon | $345.24 | $250.94 |
| Florida | $344.28 | $254.46 |
| Rhode Island | $343.59 | $251.12 |
| New Hampshire | $342.98 | $249.80 |
| Puerto Rico | $337.56 | $247.06 |
| Virgin Islands | $337.56 | $247.06 |
| Illinois | $336.47 | $249.98 |
| Minnesota | $335.40 | $243.29 |
| Montana | $335.33 | $245.81 |
| Nevada | $334.11 | $244.50 |
| Wyoming | $333.09 | $243.57 |
| Pennsylvania | $332.61 | $244.93 |
| Delaware | $332.48 | $244.04 |
| Texas | $332.06 | $243.93 |
| North Dakota | $330.19 | $240.67 |
| South Dakota | $329.58 | $240.06 |
| Virginia | $329.17 | $241.18 |
| Vermont | $328.93 | $240.31 |
| Arizona | $327.50 | $240.76 |
| Georgia | $327.43 | $242.04 |
| Michigan | $325.90 | $241.85 |
| Maine | $322.64 | $237.11 |
| Utah | $321.69 | $237.55 |
| Wisconsin | $320.40 | $234.64 |
| New Mexico | $319.43 | $237.35 |
| North Carolina | $317.95 | $234.44 |
| South Carolina | $317.87 | $235.16 |
| Missouri | $317.69 | $235.55 |
| Louisiana | $317.24 | $235.52 |
| Ohio | $316.90 | $235.18 |
| Indiana | $315.35 | $232.37 |
| Idaho | $313.75 | $231.39 |
| Nebraska | $313.56 | $230.94 |
| Iowa | $312.02 | $230.12 |
| Tennessee | $311.96 | $230.59 |
| West Virginia | $311.22 | $233.43 |
| Kentucky | $310.99 | $231.41 |
| Oklahoma | $310.64 | $230.71 |
| Kansas | $310.61 | $229.69 |
| Alabama | $304.98 | $226.66 |
| Mississippi | $303.50 | $226.43 |
| Arkansas | $301.13 | $224.24 |

## 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 67101 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