CPT 67115

Release Encircling Material Posterior Segment

CPT 67115 pays $432.21 in a non-facility setting and $432.21 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $393.93 in Arkansas to $538.83 in Alaska, a 37% spread.

National non-facility rate

$432.21

Office and other outpatient settings

Facility rate
$432.21

Hospital and ASC settings

Highest state
$538.83

Alaska

Lowest state
$393.93

Arkansas · 37% 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 $432.21
CPT 67115 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $432.21, national facility $432.21.
StateRate compared visuallyNon-facilityFacility
Alaska
$538.83$538.83
District of Columbia
$483.44$483.44
New York
$472.42$472.42
California
$472.01$472.01
New Jersey
$471.15$471.15
Washington
$465.61$465.61
Massachusetts
$462.28$462.28
Connecticut
$456.23$456.23
Hawaii
$455.39$455.39
Florida
$447.79$447.79
Maryland
$445.25$445.25
Colorado
$445.07$445.07
Rhode Island
$441.47$441.47
Oregon
$441.09$441.09
Illinois
$439.87$439.87
New Hampshire
$439.16$439.16
Puerto Rico
$434.36$434.36
Virgin Islands
$434.36$434.36
Montana
$432.18$432.18
Pennsylvania
$430.62$430.62
Nevada
$429.80$429.80
Delaware
$429.01$429.01
Texas
$428.82$428.82
Wyoming
$428.13$428.13
Minnesota
$427.46$427.46
Georgia
$425.59$425.59
Michigan
$425.34$425.34
Virginia
$423.90$423.90
Arizona
$423.21$423.21
North Dakota
$422.88$422.88
Vermont
$422.28$422.28
South Dakota
$421.78$421.78
Utah
$417.56$417.56
New Mexico
$417.32$417.32
Maine
$416.67$416.67
Missouri
$414.06$414.06
Louisiana
$414.03$414.03
Ohio
$413.42$413.42
South Carolina
$413.33$413.33
Wisconsin
$412.21$412.21
North Carolina
$411.97$411.97
West Virginia
$410.49$410.49
Indiana
$408.27$408.27
Kentucky
$406.74$406.74
Idaho
$406.54$406.54
Nebraska
$405.70$405.70
Oklahoma
$405.44$405.44
Tennessee
$405.15$405.15
Iowa
$404.26$404.26
Kansas
$403.55$403.55
Alabama
$398.21$398.21
Mississippi
$397.89$397.89
Arkansas
$393.93$393.93

Billed by 1 specialties

Commercial rates for 67115

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

See negotiated rates