CPT 67916

Repair Ectropion Excision Tarsal Wedge

CPT 67916 pays $611.57 in a non-facility setting and $371.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $545.32 in Arkansas to $721.18 in Alaska, a 32% spread.

National non-facility rate

$611.57

Office and other outpatient settings

Facility rate
$371.75

Hospital and ASC settings

Highest state
$721.18

Alaska

Lowest state
$545.32

Arkansas · 32% 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 $611.57
CPT 67916 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $611.57, national facility $371.75.
StateRate compared visuallyNon-facilityFacility
Alaska
$721.18$465.78
District of Columbia
$697.34$414.83
California
$687.72$403.95
New Jersey
$674.69$404.65
New York
$673.77$406.23
Washington
$672.56$399.17
Massachusetts
$665.95$396.51
Hawaii
$662.53$389.86
Connecticut
$650.49$392.21
Colorado
$637.18$382.02
Maryland
$632.83$382.82
Oregon
$631.21$378.57
Florida
$627.19$386.58
Rhode Island
$627.14$379.40
New Hampshire
$626.84$377.19
Puerto Rico
$615.94$373.49
Virgin Islands
$615.94$373.49
Minnesota
$613.12$366.34
Illinois
$611.77$380.05
Montana
$611.54$371.72
Nevada
$609.48$369.42
Wyoming
$607.66$367.84
Delaware
$605.93$368.99
Pennsylvania
$605.64$370.74
Texas
$605.00$368.90
North Dakota
$602.64$362.82
South Dakota
$601.59$361.77
Virginia
$600.04$364.30
Vermont
$599.96$362.54
Arizona
$596.44$364.06
Georgia
$595.56$366.77
Michigan
$592.19$367.00
Maine
$587.35$358.20
Utah
$584.95$359.52
Wisconsin
$583.61$353.86
New Mexico
$579.88$359.97
North Carolina
$578.13$354.38
South Carolina
$577.53$355.94
Missouri
$576.90$356.83
Louisiana
$575.90$356.94
Ohio
$575.31$356.35
Indiana
$573.32$351.01
Idaho
$570.20$349.56
Nebraska
$570.02$348.67
Iowa
$566.96$347.53
Tennessee
$566.56$348.56
Kansas
$563.97$347.17
Kentucky
$563.87$350.68
Oklahoma
$563.47$349.32
West Virginia
$563.27$354.86
Alabama
$552.77$342.93
Mississippi
$549.52$343.04
Arkansas
$545.32$339.31

Billed by 1 specialties

Commercial rates for 67916

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

See negotiated rates