# CPT 67145: Proph Retinal Dtchmnt w/o Drg Photocoagulation

Medicare CPT 67145 pays $245.50 in a non-facility setting and $188.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $220.22 in Arkansas to $293.91 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/67145-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $245.50 |
| National facility | $188.72 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $293.91 | $233.44 |
| District of Columbia | $278.53 | $211.64 |
| California | $274.05 | $206.85 |
| New Jersey | $270.00 | $206.06 |
| New York | $269.88 | $206.53 |
| Washington | $268.57 | $203.84 |
| Massachusetts | $266.11 | $202.31 |
| Hawaii | $264.10 | $199.54 |
| Connecticut | $260.59 | $199.43 |
| Colorado | $255.03 | $194.61 |
| Maryland | $253.73 | $194.54 |
| Oregon | $252.68 | $192.85 |
| Florida | $252.34 | $195.37 |
| Rhode Island | $251.50 | $192.85 |
| New Hampshire | $251.07 | $191.96 |
| Puerto Rico | $247.12 | $189.71 |
| Virgin Islands | $247.12 | $189.71 |
| Illinois | $246.60 | $191.73 |
| Montana | $245.48 | $188.70 |
| Minnesota | $245.33 | $186.90 |
| Nevada | $244.54 | $187.70 |
| Wyoming | $243.76 | $186.98 |
| Pennsylvania | $243.50 | $187.88 |
| Delaware | $243.36 | $187.26 |
| Texas | $243.05 | $187.15 |
| North Dakota | $241.53 | $184.75 |
| South Dakota | $241.06 | $184.28 |
| Virginia | $240.88 | $185.06 |
| Vermont | $240.63 | $184.42 |
| Georgia | $239.75 | $185.58 |
| Arizona | $239.69 | $184.67 |
| Michigan | $238.69 | $185.37 |
| Maine | $236.05 | $181.79 |
| Utah | $235.44 | $182.06 |
| Wisconsin | $234.31 | $179.91 |
| New Mexico | $233.87 | $181.80 |
| North Carolina | $232.61 | $179.63 |
| South Carolina | $232.61 | $180.15 |
| Missouri | $232.52 | $180.42 |
| Louisiana | $232.21 | $180.37 |
| Ohio | $231.95 | $180.11 |
| Indiana | $230.65 | $178.02 |
| Idaho | $229.47 | $177.23 |
| Nebraska | $229.31 | $176.90 |
| Iowa | $228.18 | $176.23 |
| Tennessee | $228.18 | $176.56 |
| West Virginia | $227.90 | $178.56 |
| Kentucky | $227.58 | $177.10 |
| Oklahoma | $227.28 | $176.58 |
| Kansas | $227.18 | $175.85 |
| Alabama | $223.06 | $173.37 |
| Mississippi | $222.03 | $173.14 |
| Arkansas | $220.22 | $171.44 |

## 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 67145 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