Cost analysis for CPT 67028 — Injection of drug into eye
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $113.56 vs VT at $79.78.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $113.56 | $394.8K | 3.5K | 6 |
| NY | $101.27 | $19.4M | 191.9K | 295 |
| CA | $100.54 | $34.0M | 338.0K | 473 |
| CT | $99.94 | $3.6M | 35.9K | 54 |
| NJ | $98.73 | $9.4M | 95.0K | 103 |
| DC | $98.07 | $325.5K | 3.3K | 13 |
| WY | $98.06 | $287.4K | 2.9K | 2 |
| MD | $97.85 | $11.9M | 121.3K | 117 |
| CO | $95.97 | $5.6M | 58.9K | 77 |
| MA | $95.31 | $9.8M | 102.4K | 121 |
| WA | $94.41 | $8.2M | 86.5K | 112 |
| VA | $94.20 | $9.4M | 100.0K | 88 |
| OR | $93.97 | $5.2M | 55.4K | 72 |
| GU | $93.87 | $40.3K | 429 | 3 |
| NV | $91.94 | $2.1M | 22.8K | 29 |
| MT | $91.83 | $1.7M | 18.5K | 23 |
| FL | $91.83 | $27.5M | 299.7K | 302 |
| HI | $91.79 | $838.6K | 9.1K | 19 |
| MN | $91.44 | $4.9M | 53.1K | 75 |
| IL | $91.30 | $12.3M | 134.6K | 191 |
| AZ | $91.30 | $7.1M | 78.2K | 60 |
| PA | $91.28 | $16.1M | 176.4K | 184 |
| DE | $90.94 | $599.5K | 6.6K | 7 |
| SD | $90.88 | $1.5M | 16.7K | 14 |
| TX | $90.55 | $21.1M | 233.0K | 289 |
| RI | $90.17 | $943.0K | 10.5K | 16 |
| MI | $89.76 | $9.0M | 100.7K | 157 |
| GA | $89.56 | $5.8M | 65.0K | 81 |
| SC | $89.17 | $5.8M | 65.5K | 53 |
| PR | $89.08 | $108.1K | 1.2K | 14 |
| NH | $88.91 | $1.0M | 11.3K | 15 |
| UT | $88.68 | $3.5M | 38.9K | 56 |
| NM | $88.49 | $1.8M | 20.2K | 25 |
| NC | $88.14 | $9.6M | 109.0K | 120 |
| MO | $87.67 | $5.5M | 62.8K | 79 |
| TN | $87.40 | $8.3M | 94.7K | 84 |
| KS | $87.16 | $4.0M | 46.0K | 36 |
| ME | $86.85 | $1.3M | 15.3K | 26 |
| ID | $86.52 | $1.8M | 20.8K | 27 |
| OH | $86.41 | $9.3M | 108.1K | 146 |
| KY | $86.33 | $3.6M | 42.2K | 50 |
| VI | $85.43 | $24.6K | 288 | 1 |
| AE | $85.39 | $102.5K | 1.2K | 1 |
| AL | $85.35 | $3.5M | 40.6K | 42 |
| IA | $84.88 | $4.8M | 57.0K | 60 |
| MS | $84.87 | $3.0M | 35.3K | 28 |
| WI | $84.54 | $4.9M | 58.4K | 113 |
| IN | $84.42 | $6.3M | 74.4K | 80 |
| ND | $84.19 | $1.0M | 12.1K | 25 |
| LA | $83.78 | $3.1M | 36.5K | 69 |
| OK | $83.75 | $3.2M | 38.2K | 36 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Wright Lauten | Ophthalmology | MS | $839.5K | 9.2K | $91.60 |
| David Warrow | Ophthalmology | MD | $737.3K | 7.3K | $101.50 |
| Alexander Eaton | Ophthalmology | FL | $556.7K | 5.7K | $97.75 |
| Sunil Gupta | Ophthalmology | FL | $556.1K | 5.9K | $94.02 |
| Nathan Steinle | Ophthalmology | CA | $508.2K | 4.5K | $113.69 |
| David Reed | Ophthalmology | MA | $486.0K | 5.0K | $97.70 |
| Omesh Gupta | Ophthalmology | PA | $484.6K | 5.0K | $96.40 |
| Torsten Wiegand | Ophthalmology | MA | $467.0K | 4.2K | $111.30 |
| Babak Jian Seyedahmadi | Ophthalmology | MA | $463.7K | 5.0K | $92.47 |
| Mehran Taban | Ophthalmology | CA | $446.5K | 4.5K | $98.21 |
| Allen Hu | Ophthalmology | MD | $443.4K | 4.7K | $95.11 |
| John Welch | Ophthalmology | NE | $443.3K | 5.0K | $89.24 |
| Jason Ysasaga | Ophthalmology | TX | $430.1K | 5.0K | $85.71 |
| Douglas Lieb | Ophthalmology | FL | $424.8K | 4.8K | $88.12 |
| Ryan Rush | Ophthalmology | TX | $424.5K | 4.9K | $86.90 |
| Mitchell Fineman | Ophthalmology | PA | $418.2K | 4.0K | $103.87 |
| Richard Kaiser | Ophthalmology | PA | $413.5K | 4.2K | $98.96 |
| Sarju Patel | Ophthalmology | CA | $413.4K | 4.0K | $104.62 |
| Rizwan Bhatti | Ophthalmology | CA | $409.9K | 4.1K | $100.19 |
| Robert Reinauer | Ophthalmology | TX | $407.8K | 4.3K | $95.17 |
Based on the data, CPT 67028 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.