CPT 67850 Surgery - Eye
Dstrj lesion lid margin <1cm Cost
Body System: Eye
Medicare Facility Rate
$113
CMS PFS CY2026
Medicare Non-Facility Rate
$210
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$148
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.70
Work RVU
1.52
Facility PE RVU
0.15
Malpractice RVU
6.28
Total RVU
Frequently Asked Questions
How much does Dstrj lesion lid margin <1cm cost?
The Medicare facility rate is $113. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $148.
How much does Dstrj lesion lid margin <1cm cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $113.