| Code | Description | States | Median rate |
|---|---|---|---|
| 67027 | Drug implant placed inside the eye | 47 | $624.99 |
| 67028 | Injection of medication into the eye's vitreous | 48 | $108.30 |
| 67036 | Vitreous gel removal through the pars plana (vitrectomy) | 48 | $697.09 |
| 67039 | Vitrectomy with focal laser treatment | 48 | $849.47 |
| 67040 | Vitrectomy with laser treatment across the retina | 48 | $946.64 |
| 67041 | Vitrectomy with membrane peel (macular pucker) | 48 | $847.82 |
| 67042 | Vitrectomy with inner retina membrane peel (macular hole) | 48 | $940.40 |
| 67043 | Vitrectomy with removal of a membrane under the retina | 48 | $978.33 |
| 67107 | Retinal detachment repair with a scleral buckle | 48 | $880.29 |
| 67108 | Retinal detachment repair with vitrectomy | 48 | $1,054.55 |
| 67113 | Complex retinal detachment repair with vitrectomy and peel | 48 | $1,052.18 |
| 67121 | Removal of an implant from inside the back of the eye | 48 | $648.79 |
| 67208 | Retina lesion destruction by freezing or diathermy | 47 | $470.40 |
| 67210 | Laser treatment of a retinal lesion | 48 | $464.83 |
| 67225 | Photodynamic therapy for abnormal vessels under the retina | 47 | $25.17 |
| 67228 | Laser treatment of widespread diabetic retinal disease | 48 | $339.43 |
| 67229 | Laser or freezing treatment for retinopathy of prematurity | 48 | $826.83 |
| 67299 | Unlisted back-of-eye procedure | 13 | $738.96 |
| 67311 | Eye muscle surgery for misalignment, 1 horizontal muscle | 48 | $408.73 |
| 67312 | Eye muscle surgery for misalignment, 2 horizontal muscles | 48 | $510.60 |
| 67314 | Eye muscle surgery for misalignment, 1 vertical muscle | 47 | $439.58 |
| 67316 | Eye muscle surgery for misalignment, 2+ vertical muscles | 47 | $547.41 |
| 67318 | Eye muscle surgery, superior oblique muscle | 47 | $512.50 |
| 67320 | Eye muscle transposition (add-on) | 47 | $177.09 |
| 67335 | Adjustable stitches in eye muscle surgery (add-on) | 45 | $137.42 |
| 67346 | Eye muscle biopsy | 47 | $142.33 |
| 67399 | Unlisted eye muscle procedure | 11 | $478.57 |
| 67400 | Eye socket exploration without bone flap | 48 | $738.00 |
| 67405 | Eye socket drainage without bone flap | 48 | $648.74 |
| 67412 | Eye socket lesion removal without bone flap | 48 | $728.78 |
| 67413 | Eye socket foreign body removal without bone flap | 48 | $703.75 |
| 67415 | Needle aspiration of the eye socket | 47 | $83.94 |
| 67420 | Eye socket lesion removal with bone flap, side approach | 48 | $1,246.49 |
| 67430 | Eye socket foreign body removal with bone flap | 48 | $980.73 |
| 67440 | Eye socket drainage with bone flap | 48 | $951.07 |
| 67450 | Eye socket exploration with bone flap | 48 | $985.05 |
| 67516 | Injection into the suprachoroidal space of the eye | 38 | $98.67 |
| 67550 | Eye socket implant insertion | 47 | $779.42 |
| 67560 | Eye socket implant removal or revision | 47 | $795.66 |
| 67570 | Optic nerve sheath decompression | 48 | $916.31 |
| 67599 | Unlisted eye socket procedure | 10 | $286.12 |
| 67800 | Removal of a chalazion (eyelid cyst), single | 48 | $106.04 |
| 67801 | Removal of chalazions, multiple, same eyelid | 48 | $134.30 |
| 67805 | Removal of chalazions, multiple, different eyelids | 48 | $163.60 |
| 67808 | Eyelid cyst (chalazion) removal under general anesthesia | 48 | $258.26 |
| 67810 | Eyelid biopsy | 48 | $144.91 |
| 67850 | Destruction of an eyelid edge lesion, up to 1 cm | 47 | $164.84 |
| 67900 | Brow lift for drooping brow | 44 | $511.76 |
| 67911 | Eyelid retraction correction | 48 | $416.03 |
| 67912 | Eyelid weight implant for incomplete closure | 47 | $716.81 |
| 67999 | Unlisted eyelid procedure | 12 | $232.00 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.