CPT code 67906: Ptosis repair, superior rectus sling2026 Medicare rate & RVUs in Nebraska

In Nebraska, Medicare pays $402.35 for 67906 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67906 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 67906 covers

CPT 67906 reports surgical correction of blepharoptosis using a superior rectus-based technique with a fascial sling to elevate the upper eyelid. An ophthalmologist, commonly an oculoplastic surgeon, performs this operation when the selected repair uses this specific muscle-and-sling approach. The code is selected by the technique documented, not simply because ptosis is severe or congenital.

The operative report should identify the affected eyelid, describe the superior rectus and sling technique, and support the medical need for repair. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Nebraska compares for 67906

Across 109 of 109 payment localities, the facility rate for 67906 runs from $393.00 in Arkansas to $544.44 in Alaska. Nebraska pays $402.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67906 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 67906 in every payment locality

How the 67906 rate is calculated

Each of 67906’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 67906

67906 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 67906

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 67906 has changed in Nebraska

Price 67906 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

• Abie
• Adams
• Agnew
• Ainsworth
• Albion
• Alda
• Alexandria
• Allen

Browse all communities in Nebraska

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates