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Removal Of A Fragment From The Back Of The Eye

New York rates for HCPCS 65265

Removes a fragment that has penetrated the eye and lodged in its back portion. The eye is opened, the fragment is located and drawn out, and the wound is closed. It is done urgently after a penetrating injury, to limit further damage and infection.

Rates data updated July 2026.

How much does Removal Of A Fragment From The Back Of The Eye cost?

$4,571

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $2,630 to $7,079.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,514 to $10,233
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $4,571

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,677.35
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,290.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$3,548.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,912.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$3,090.30

Where New York sits

The same service costs 12.6 times more in Delaware than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $4,571 · 16th of 50
DE $12,589ME $1,000

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.