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Repair of an Eye Wound Involving Inner Tissue

South Dakota 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?

$1,862

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,862 for this service. Most negotiated rates run $1,445 to $2,138.

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.

How much rates vary

Facilitymedian $1,622 · 10th to 90th $955 to $4,365Professionalmedian $1,862 · 10th to 90th $1,096 to $2,188
$1K$2K$5K$10Kfacility $1,622professional $1,862

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,951.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,630.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$10,964.78

Where South Dakota 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.

South Dakota· 44th of 50

$1,862

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.