CPT 67921

Repair Entropion Suture

CPT 67921 pays $477.30 in a non-facility setting and $276.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $422.93 in Arkansas to $552.97 in Alaska, a 31% spread.

National non-facility rate

$477.30

Office and other outpatient settings

Facility rate
$276.56

Hospital and ASC settings

Highest state
$552.97

Alaska

Lowest state
$422.93

Arkansas · 31% 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 $477.30
CPT 67921 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $477.30, national facility $276.56.
StateRate compared visuallyNon-facilityFacility
Alaska
$552.97$339.18
District of Columbia
$547.69$311.22
California
$542.56$305.03
Washington
$528.82$299.98
New Jersey
$528.65$302.62
New York
$526.89$302.95
Massachusetts
$523.09$297.56
Hawaii
$522.38$294.14
Connecticut
$508.77$292.57
Colorado
$499.52$285.93
Oregon
$494.83$283.35
Maryland
$494.56$285.29
New Hampshire
$490.80$281.83
Rhode Island
$490.24$282.88
Florida
$486.71$285.30
Minnesota
$481.50$274.94
Puerto Rico
$481.08$278.13
Virgin Islands
$481.08$278.13
Montana
$477.28$276.54
Nevada
$476.20$275.26
Wyoming
$475.04$274.30
Illinois
$473.60$279.64
Delaware
$472.72$274.39
North Dakota
$472.14$271.40
Texas
$471.79$274.16
Pennsylvania
$471.62$275.00
South Dakota
$471.53$270.79
Vermont
$469.45$270.72
Virginia
$468.70$271.37
Arizona
$465.02$270.50
Georgia
$462.81$271.31
Michigan
$459.14$270.64
Maine
$458.23$266.42
Wisconsin
$456.35$264.04
Utah
$455.07$266.37
North Carolina
$450.33$263.04
New Mexico
$449.52$265.44
South Carolina
$448.96$263.48
Missouri
$447.88$263.66
Indiana
$446.87$260.78
Louisiana
$446.76$263.48
Ohio
$446.42$263.15
Nebraska
$444.51$259.22
Idaho
$444.26$259.58
Iowa
$441.83$258.15
Tennessee
$440.91$258.44
Kansas
$438.84$257.37
Oklahoma
$437.30$258.04
Kentucky
$437.08$258.62
West Virginia
$434.44$260.00
Alabama
$429.06$253.42
Mississippi
$425.59$252.75
Arkansas
$422.93$250.50

Billed by 1 specialties

Commercial rates for 67921

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

See negotiated rates