CPT 92312

Rx&Fitg Contact Lens Corneal Lens Aphakia Ou

CPT 92312 pays $113.23 in a non-facility setting and $49.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $102.94 in Arkansas to $138.29 in Alaska, a 34% spread.

National non-facility rate

$113.23

Office and other outpatient settings

Facility rate
$49.10

Hospital and ASC settings

Highest state
$138.29

Alaska

Lowest state
$102.94

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 $113.23
CPT 92312 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $113.23, national facility $49.10.
StateRate compared visuallyNon-facilityFacility
Alaska
$138.29$69.99
District of Columbia
$128.27$52.72
California
$127.71$51.83
Washington
$124.51$51.40
New Jersey
$124.42$52.21
New York
$123.60$52.05
Massachusetts
$123.22$51.17
Hawaii
$122.93$50.01
Connecticut
$119.65$50.58
Colorado
$118.24$50.01
Oregon
$117.31$49.75
Maryland
$116.84$49.99
Rhode Island
$116.34$50.10
New Hampshire
$116.13$49.37
Minnesota
$115.08$49.09
Puerto Rico
$114.01$49.18
Virgin Islands
$114.01$49.18
Florida
$113.78$49.44
Nevada
$113.25$49.05
Montana
$113.23$49.10
Wyoming
$113.14$49.01
North Dakota
$113.03$48.90
South Dakota
$113.01$48.88
Delaware
$112.54$49.18
Vermont
$112.35$48.86
Texas
$112.32$49.18
Pennsylvania
$112.15$49.33
Virginia
$111.91$48.87
Illinois
$111.25$49.29
Arizona
$110.95$48.81
Georgia
$110.05$48.87
Wisconsin
$109.98$48.55
Maine
$109.91$48.63
Michigan
$108.98$48.77
Utah
$108.89$48.60
North Carolina
$108.30$48.46
Indiana
$107.82$48.37
South Carolina
$107.72$48.47
Nebraska
$107.49$48.30
New Mexico
$107.34$48.53
Idaho
$107.31$48.31
Missouri
$107.31$48.46
Louisiana
$107.00$48.45
Ohio
$106.98$48.43
Iowa
$106.92$48.24
Tennessee
$106.54$48.25
Kansas
$106.17$48.20
Oklahoma
$105.47$48.20
Kentucky
$105.23$48.22
Alabama
$104.11$47.99
West Virginia
$103.97$48.24
Mississippi
$103.16$47.94
Arkansas
$102.94$47.85

Billed by 2 specialties

Commercial rates for 92312

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

See negotiated rates