CPT 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

CPT 67904 pays $744.84 in a non-facility setting and $508.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $668.94 in Arkansas to $894.99 in Alaska, a 34% spread.

National non-facility rate

$744.84

Office and other outpatient settings

Facility rate
$508.03

Hospital and ASC settings

Highest state
$894.99

Alaska

Lowest state
$668.94

Arkansas · 34% 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 $744.84
CPT 67904 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $744.84, national facility $508.03.
StateRate compared visuallyNon-facilityFacility
Alaska
$894.99$642.78
District of Columbia
$843.83$564.86
California
$829.17$548.96
New York
$818.54$554.35
New Jersey
$818.41$551.76
Washington
$813.34$543.37
Massachusetts
$806.09$540.04
Hawaii
$799.21$529.96
Connecticut
$790.29$535.24
Colorado
$772.87$520.90
Maryland
$769.60$522.72
Florida
$766.94$529.34
Oregon
$765.72$516.23
Rhode Island
$762.73$518.10
New Hampshire
$761.13$514.61
Illinois
$749.88$521.06
Puerto Rico
$749.61$510.20
Virgin Islands
$749.61$510.20
Montana
$744.80$507.98
Minnesota
$743.00$499.32
Nevada
$741.68$504.63
Wyoming
$739.20$502.38
Pennsylvania
$739.17$507.21
Delaware
$738.38$504.41
Texas
$737.54$504.40
North Dakota
$731.94$495.13
Virginia
$730.58$497.79
South Dakota
$730.42$493.61
Vermont
$729.48$495.03
Georgia
$728.17$502.25
Arizona
$727.34$497.87
Michigan
$725.41$503.04
Maine
$716.10$489.83
Utah
$714.81$492.21
New Mexico
$710.72$493.57
Wisconsin
$710.34$483.48
South Carolina
$706.35$487.53
Missouri
$706.33$489.02
North Carolina
$705.94$485.00
Louisiana
$705.53$489.32
Ohio
$704.68$488.47
Indiana
$699.84$480.31
Idaho
$696.31$478.44
Nebraska
$695.64$477.06
West Virginia
$693.47$487.68
Tennessee
$692.60$477.34
Iowa
$692.34$475.66
Kentucky
$691.53$481.01
Oklahoma
$690.39$478.92
Kansas
$689.57$475.49
Alabama
$677.47$470.26
Mississippi
$674.73$470.84
Arkansas
$668.94$465.52

Billed by 1 specialties

Commercial rates for 67904

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

See negotiated rates