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Repair of a Tear in the Membrane Over the Eye

Montana 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 October 2026.

How much does Repair of a Tear in the Membrane Over the Eye cost?

$550

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $550 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$389 to $589
FacilityA hospital or hospital-owned outpatient department$550$550 to $603

How much rates vary

Facilitymedian $550 · 10th to 90th $513 to $692Professionalmedian $550 · 10th to 90th $79 to $631
$100$200$500$1Kfacility $550professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$630.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$549.54
Typical High
$630.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$549.54
Typical High
$588.84
Providence
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$501.19
Typical High
$588.84
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$630.96
Typical High
$724.44

Where Montana sits

The same service costs 6.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 18th of 51

$550

AK $1,514UT $219

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.