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Repair of an Eye Wound Involving Inner Tissue

New York rates for HCPCS 65285

Surgical closure of a wound that has gone all the way through the clear front window of the eye or the white wall behind it, where the pigmented inner layer has been pulled into or out through the opening. The surgeon pushes that tissue back into place or trims away the part that cannot be saved, then closes the wound with fine stitches. It is emergency surgery done under anesthesia to seal the eye and preserve sight.

Rates data updated July 2026.

How much does Repair of an Eye Wound Involving Inner Tissue cost?

$5,623

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $3,090 to $9,120.

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 $5,623 · 10th to 90th $1,549 to $12,023
$1K$2K$5K$10Kfacility $5,623

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
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
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
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,071.52
Typical High
$2,398.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$954.99
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
$10,000.00
Univera
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$2,951.21

Where New York sits

The same service costs 12.9 times more in Indiana than in Maine. 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.

New York· 19th of 50

$5,623

IN $12,882ME $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.