CPT 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

CPT 67113 pays $1,110.25 in a non-facility setting and $1,110.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,024.08 in Arkansas to $1,426.40 in Alaska, a 39% spread.

National non-facility rate

$1,110.25

Office and other outpatient settings

Facility rate
$1,110.25

Hospital and ASC settings

Highest state
$1,426.40

Alaska

Lowest state
$1,024.08

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 $1,110.25
CPT 67113 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,110.25, national facility $1,110.25.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,426.40$1,426.40
District of Columbia
$1,227.93$1,227.93
New York
$1,208.36$1,208.36
New Jersey
$1,201.89$1,201.89
California
$1,191.00$1,191.00
Washington
$1,181.29$1,181.29
Massachusetts
$1,174.82$1,174.82
Connecticut
$1,166.99$1,166.99
Florida
$1,158.20$1,158.20
Hawaii
$1,150.16$1,150.16
Illinois
$1,142.22$1,142.22
Maryland
$1,140.89$1,140.89
Colorado
$1,135.22$1,135.22
Rhode Island
$1,131.30$1,131.30
Oregon
$1,125.28$1,125.28
New Hampshire
$1,122.24$1,122.24
Puerto Rico
$1,114.37$1,114.37
Virgin Islands
$1,114.37$1,114.37
Montana
$1,110.15$1,110.15
Pennsylvania
$1,110.14$1,110.14
Texas
$1,103.30$1,103.30
Michigan
$1,103.28$1,103.28
Delaware
$1,103.07$1,103.07
Nevada
$1,102.49$1,102.49
Georgia
$1,100.48$1,100.48
Wyoming
$1,097.48$1,097.48
Arizona
$1,089.47$1,089.47
Minnesota
$1,088.50$1,088.50
Virginia
$1,088.29$1,088.29
New Mexico
$1,083.41$1,083.41
Vermont
$1,081.57$1,081.57
North Dakota
$1,081.08$1,081.08
Utah
$1,078.70$1,078.70
South Dakota
$1,077.64$1,077.64
Louisiana
$1,074.08$1,074.08
West Virginia
$1,073.48$1,073.48
Missouri
$1,073.07$1,073.07
Maine
$1,072.23$1,072.23
Ohio
$1,072.16$1,072.16
South Carolina
$1,069.27$1,069.27
North Carolina
$1,062.89$1,062.89
Wisconsin
$1,057.70$1,057.70
Kentucky
$1,056.99$1,056.99
Indiana
$1,052.73$1,052.73
Oklahoma
$1,051.98$1,051.98
Idaho
$1,048.99$1,048.99
Tennessee
$1,047.27$1,047.27
Nebraska
$1,045.65$1,045.65
Kansas
$1,043.44$1,043.44
Iowa
$1,043.05$1,043.05
Mississippi
$1,035.96$1,035.96
Alabama
$1,033.66$1,033.66
Arkansas
$1,024.08$1,024.08

Billed by 1 specialties

Commercial rates for 67113

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

See negotiated rates