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Repair of a Tear in the Membrane Over the Eye

California rates for HCPCS 65273

Surgical repair of a tear in the conjunctiva, the thin clear membrane covering the white of the eye, in which nearby membrane is loosened and shifted across the gap before being stitched into place. It is used when the torn edges cannot simply be drawn together.

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $1,905$13,4900%10%10th90th$4,677Professionalmedian $457 · 10th–90th $288$2,4550%10%20%10th90th$457$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,456.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,570.88
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$1,174.90
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$3,311.31
Typical High
$6,606.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$1,023.29
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$794.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$3,890.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,090.30
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$1,023.29
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$6,165.95
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$891.25