CPT 66984 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| 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 | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66984 |
National average reimbursement for CPT 66984 by major payers:
$775.69
$805.95
$856.16
$987.58
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 66984 | ||||||
United | 66984 | $728.21 | 1265430326 - DENNIS SILBER | 461177336 - ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC | NY | Medical Physician Assistant (363AM0700X) |
United | 66984 | $922.00 | 1639149255 - COLD SPRINGS MEDICAL SURGICAL GROUP LLC, DE LA VINA SURGICENTER | 770521530 - (CA) COLD SPRINGS MEDICAL SURGICAL GROUP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $922.00 | 1174063788 - EMBASSY SURGERY CENTER, LLC | 815164569 - (CA) EMBASSY SURGERY CENTER, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $1061.87 | 1407019896 - LAUREN YEAGER | 133957095 - THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Ophthalmology Physician (207W00000X) |
United | 66984 | $922.00 | 1346615150 - SUTTER VALLEY MEDICAL FOUNDATION, BRIGGSMORE SURGERY CENTER | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $1098.93 | 1750515961 - DIPTI BHOIWALA | 141338544 - SAMARITAN HOSPITAL | NY | Internal Medicine Physician (207R00000X) |
United | 66984 | $450.95 | 1700016797 - ISAAC REICH | 223893174 | NY | Ophthalmology Physician (207W00000X) |
United | 66984 | $892.00 | 1558401299 - SAN GABRIEL VALLEY SURGICAL CENTER LP | 752965449 - (CA) SAN GABRIEL VALLEY SURGICAL CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $484.41 | 1972532778 - GLENS FALLS EYE ASSOCIATES, P.C. | 141549405 - GLENS FALLS EYE ASSOCIATES, PC | NY | Ophthalmology Physician (207W00000X) |
United | 66984 | $1523.50 | 1104087089 - CONGRESS MEDICAL SURGERY CENTER LLC | 262785454 - (CA) CONGRESS MEDICAL SURGERY CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $882.67 | 1750375275 - HILTON HOSANNAH | 141338310 | NY | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
United | 66984 | $546.29 | 1316142979 - TAL KAZAM | 814038815 - NEW YORK OPHTHALMOLOGY ASSOCIATES PLLC | NY | Ophthalmology Physician (207W00000X) |
United | 66984 | $892.00 | 1578530226 - PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP, BAYLOR SCOTT & WHITE SURGICARE FORT WORTH | 208303422 - (TX) PHYSICIANS SURGICAL CENTER OF FT WORTH LLP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $774.00 | 1164414447 - EAST VALLEY ENDOSCOPY LLC | 870667809 - (AZ) EAST VALLEY ENDOSCOPY, PLLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $1550.00 | 1669405684 - PACIFICOAST AMBULATORY SURGICENTER, LLC., PACIFIC COAST AMBULATORY SURGICENTER | 474003673 - (CA) PACIFICOAST AMBULATORY SURGICENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 66984 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66984 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 66984 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 66940-CPT | Moderate | Extract Lens Extracapsular Other |
| 66982-CPT | High | Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure) Manual Or Mechanical Technique (Eg Irrigation Andaspiration Or Phacoemulsification) Complex Requ-Iring 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 Patientsin The Amblyogenic Developmental Stage; Without Endoscopic Cyclophotocoagulation(Desc Rvsd 1/1/20) |
| 66983-CPT | High | Intracapsular Cataract Extract-Insert Le |
| 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 66984) and we'll show you how you compare in 15 minutes or less.