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Repair of a Tear in the Membrane Over the Eye

West Virginia 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.

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

$407

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$355 to $468
FacilityA hospital or hospital-owned outpatient department$380$380 to $1,413

How much rates vary

Facilitymedian $380 · 10th to 90th $380 to $1,622Professionalmedian $407 · 10th to 90th $331 to $479
$50$100$200$500$1K$2Kfacility $380professional $407

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
$380.19
Median
$380.19
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$575.44

Where West Virginia sits

The same service costs 7.9 times more in California than in West Virginia. 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.

West Virginia· 51st of 51

$407

CA $3,236WV $407

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.