# CPT 67904: Rpr Blepharoptosis Levator Rescj/advmnt Xtrnl

Medicare 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.

Web page: https://www.med-reveal.com/rates/67904-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $744.84 |
| National facility | $508.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $806.10 | $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 | $765.71 | $516.24 |
| 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 | $507.22 |
| 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 | $716.11 | $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 |

## 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 67904 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