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See a sample rate comparisonCPT 66984 is classified under Surgery, in the Surgical Procedures on the Eye and Ocular Adnexa subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $462.60 national non-facility rate (2026) · View Medicare rates for 66984 |
| Medicaid Fee Schedule | $479.73 median across 42 state programs · View Medicaid rates for 66984 |
National average reimbursement for CPT 66984 by major payers:

$775.69
BCBS / Anthem

$805.95
UnitedHealthcare

$856.16
Aetna

$962.40
Cigna
Choose a payer to see a sample of rates for CPT 66984.
Tarrant County Surgery Center Lp
Lauren Yeager
The New York And Presbyterian Hospital
Physicians Surgical Center Of Ft. Worth LLP, Baylor Scott & White Surgicare Fort Worth
Physicians Surgical Center Of Ft Worth LLP
Dennis Silber
St Peters Health Partners Medical Associates PC
Zimei Zhou
Bronxcare Dr Martin Luther King Jr Health Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 66984 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The table lists codes related to 66984. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 66940-CPT | Moderate | Surgery To Remove Cataract, Surgery To Remove A Cataract (Clouded Lens) Including The Front Part Of The Lens Capsule. The Back Of The Lens Capsule Is Left In Place. |
| 66982-CPT | High | Xcapsl Ctrc Rmvl Cplx Wo Ecp, Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis 1 Stage Procedure Manual Or Mechanical Technique Eg Irrigation And Aspiration Or Phacoemulsification Complex Requiring Devices Or Techniques Not Generally Used In Routine Cataract Surgery Eg Iris Expansion Device Suture Support For Intraocular Lens Or Primary Posterior Capsulorrhexis Or Performed On Patients In The Amblyogenic Developmental Stage Without Endoscopic Cyclophotocoagulation |
| 66983-CPT | High | Eye Surgery For Cataract, Surgery To Remove A Cataract (Clouded Lens) And The Lens Capsule. A Replacement Lens May Be Implanted In The Same Procedure. |
| 66984-CPT | Moderate | Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure) Manual Or Mechanical Technique (Eg Irrigation And Aspiration Or Phacoemulsification); Without Endoscopic Cyclophotocoagulation (Desc Rvsd 1/1/20) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66984. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66984 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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To get an estimate for a medical procedure or service, especially for a specific CPT code and location, it's highly recommended to use price transparency tools. We suggest utilizing Payerprice's fee schedule lookup tool. This tool allows you to search for costs based on CPT codes and specific geographical locations, providing clarity on potential out-of-pocket expenses. You can also contact your insurance provider or the healthcare facility for an estimate, but Payerprice offers a user-friendly and comprehensive search option for comparative pricing.
The cost of medical services can vary significantly due to several factors. These include the type and complexity of the procedure, the healthcare provider's individual fees, the geographic location where the service is rendered, whether the provider is in-network or out-of-network with your insurance plan, and the type of facility (e.g., hospital, outpatient clinic, or doctor's office). Your insurance plan's specifics, such as deductibles, copays, and coinsurance, also play a crucial role in your final out-of-pocket cost. For specific pricing data that considers CPT codes and location, tools like Payerprice can be invaluable.
Your health insurance plan significantly impacts the amount you ultimately pay for medical care. It dictates your deductible (the amount you must pay before your insurance begins to cover costs), your copay (a fixed amount you pay for certain services), and coinsurance (a percentage of the cost you're responsible for after meeting your deductible). Services from in-network providers typically result in lower out-of-pocket costs compared to out-of-network providers. To understand your specific cost-sharing responsibilities and what your plan covers for a particular service, consult your insurance benefits details or use a tool like Payerprice to get an idea of standard fee schedules that your plan might negotiate against.