CPT 68115 Surgery - Eye
Exc les conjunctiva >1 cm Cost
Body System: Eye
Medicare Facility Rate
$157
CMS PFS CY2026
Medicare Non-Facility Rate
$331
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.35
Work RVU
2.16
Facility PE RVU
0.19
Malpractice RVU
9.91
Total RVU
Frequently Asked Questions
How much does Exc les conjunctiva >1 cm cost?
The Medicare facility rate is $157. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Exc les conjunctiva >1 cm cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $157.