How much does Medicare pay for CPT 67908?

Medicare allowed an average of $669.86 per service and paid $529.49 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4009.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 67908?

Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis. It was billed 7,110 times to 5,367 Medicare beneficiaries by 226 providers in 2024.

Does 67908 pay differently in an office than a hospital?

Yes. The allowed amount averaged $661.82 in an office setting and $670.21 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 67908 most?

Ambulatory Surgical Center, with 4,106 services from 103 clinicians. Next are Ophthalmology.

CPT 67908

Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis

$669.86Medicare-allowed amount per service, averaged across 7,110 services

Providers submitted

$4009.79

Asking price, not received

Medicare allowed

$669.86

The fee schedule figure

Medicare paid

$529.49

Balance is patient coinsurance

Providers submitted an average of $4009.79 for this code and Medicare allowed $669.86 — 6.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $529.49 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $661.82
Hospital / facility: $670.21

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 301 services were billed in an office setting and 6,809 in a facility.

Services: 7,110
Beneficiaries: 5,367
Providers billing it: 226
Total allowed: $4,762,705

What Medicare pays for CPT 67908

Across 7,110 services billed by 226 providers to 5,367 beneficiaries, Medicare allowed an average of $669.86 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 67908

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	4,106	2,423	$765.68	103
Ophthalmology	3,004	2,944	$538.89	123

67908 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	1,117	$762.80	$492.84	35
Ohio	761	$624.30	$526.83	18
Florida	648	$644.04	$530.46	23
Georgia	456	$639.52	$533.58	9
New Jersey	371	$728.25	$536.47	9
Pennsylvania	342	$645.83	$529.02	9
Arkansas	323	$621.27	$542.39	6
Indiana	295	$663.83	$535.91	6
Minnesota	282	$628.42	$492.34	12
Texas	278	$691.19	$547.70	9
Massachusetts	241	$666.97	$474.96	10
Maryland	214	$712.09	$551.49	6
Tennessee	206	$657.14	$568.60	6
Illinois	180	$660.77	$481.96	8
New York	171	$800.10	$532.73	9
Delaware	158	$695.28	$538.88	3
Arizona	137	$636.80	$512.71	6
North Carolina	109	$605.02	$505.48	4
Louisiana	103	$630.16	$533.93	4
Virginia	95	$623.80	$464.89	4
Missouri	95	$711.36	$638.93	4
Washington	63	$607.65	$450.80	3
South Dakota	63	$654.58	$546.61	2
Iowa	48	$647.43	$547.44	2
Kentucky	44	$675.23	$561.85	2
Michigan	41	$641.04	$548.99	2
Utah	37	$489.61	$404.85	2
Hawaii	37	$620.97	$442.79	2
Kansas	37	$560.66	$500.97	2
Wisconsin	27	$752.50	$464.81	1
Rhode Island	22	$498.63	$384.20	1
Connecticut	18	$597.24	$425.15	1
West Virginia	17	$309.06	$251.47	1
Oklahoma	16	$794.21	$671.21	1
Oregon	16	$321.62	$221.99	1
South Carolina	14	$565.76	$442.24	1
New Hampshire	14	$277.55	$238.22	1
Colorado	14	$375.38	$311.15	1

Related codes

67904Repair of tendon of upper eyelid$756.97
67917Extensive repair of turning-outward eyelid defect$572.32
67900Repair of brow paralysis$549.88
67903Shortening or advancement of upper eyelid muscle to correct drooping o$672.04
67950Reconstruction of eyelid margin$489.92
67924Extensive repair of turning-inward eyelid defect$625.44
67966Removal of over 1/4 of eyelid margin and repair of eyelid$684.96
67938Removal of embedded foreign body in eyelid$316.68
67961Removal of up to 1/4 of eyelid margin and repair of eyelid$560.01
67911Correction of widely-opened upper eyelid$512.98

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.