CPT 67218

Dstrj Lesion Retina 1/> Sess Radj Impltj

CPT 67218 pays $1,155.00 in a non-facility setting and $1,155.00 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,067.48 in Arkansas to $1,491.36 in Alaska, a 40% spread.

National non-facility rate

$1,155.00

Office and other outpatient settings

Facility rate
$1,155.00

Hospital and ASC settings

Highest state
$1,491.36

Alaska

Lowest state
$1,067.48

Arkansas · 40% 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 $1,155.00
CPT 67218 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,155.00, national facility $1,155.00.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,491.36$1,491.36
District of Columbia
$1,274.95$1,274.95
New York
$1,256.18$1,256.18
New Jersey
$1,248.84$1,248.84
California
$1,235.10$1,235.10
Washington
$1,226.24$1,226.24
Massachusetts
$1,219.88$1,219.88
Connecticut
$1,213.17$1,213.17
Florida
$1,206.43$1,206.43
Hawaii
$1,192.96$1,192.96
Illinois
$1,190.58$1,190.58
Maryland
$1,186.38$1,186.38
Colorado
$1,179.51$1,179.51
Rhode Island
$1,176.40$1,176.40
Oregon
$1,169.21$1,169.21
New Hampshire
$1,166.41$1,166.41
Puerto Rico
$1,159.04$1,159.04
Virgin Islands
$1,159.04$1,159.04
Pennsylvania
$1,155.61$1,155.61
Montana
$1,154.90$1,154.90
Michigan
$1,149.72$1,149.72
Texas
$1,148.09$1,148.09
Delaware
$1,147.72$1,147.72
Nevada
$1,146.63$1,146.63
Georgia
$1,146.16$1,146.16
Wyoming
$1,141.28$1,141.28
Arizona
$1,133.79$1,133.79
Virginia
$1,132.02$1,132.02
Minnesota
$1,130.59$1,130.59
New Mexico
$1,129.16$1,129.16
Vermont
$1,124.54$1,124.54
North Dakota
$1,123.66$1,123.66
Utah
$1,123.27$1,123.27
West Virginia
$1,120.21$1,120.21
South Dakota
$1,119.96$1,119.96
Louisiana
$1,119.27$1,119.27
Missouri
$1,118.01$1,118.01
Ohio
$1,117.21$1,117.21
Maine
$1,115.75$1,115.75
South Carolina
$1,113.71$1,113.71
North Carolina
$1,106.52$1,106.52
Kentucky
$1,101.76$1,101.76
Wisconsin
$1,100.04$1,100.04
Oklahoma
$1,096.24$1,096.24
Indiana
$1,095.81$1,095.81
Idaho
$1,092.05$1,092.05
Tennessee
$1,090.60$1,090.60
Nebraska
$1,088.36$1,088.36
Kansas
$1,086.66$1,086.66
Iowa
$1,085.85$1,085.85
Mississippi
$1,080.18$1,080.18
Alabama
$1,077.20$1,077.20
Arkansas
$1,067.48$1,067.48

Billed by 1 specialties

Commercial rates for 67218

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

See negotiated rates