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Pterygium Removal Without Graft

Vermont rates for HCPCS 65420

This procedure removes a growth of pink, fleshy tissue that has formed on the white part of the eye and extended onto the clear front surface, called the cornea. This kind of growth is often linked to long-term sun or wind exposure and can cause irritation or blurred vision as it grows. The tissue is removed without placing a separate patch of tissue over the area afterward.

Rates data updated October 2026.

How much does Pterygium Removal Without Graft cost?

$676

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $525 to $912.

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.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $407 to $2,455Professionalmedian $676 · 10th to 90th $427 to $933
$500$1K$2Kfacility $1,698professional $676

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$676.08
Typical High
$933.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$645.65
Typical High
$1,122.02

Where Vermont sits

The same service costs 6.3 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.

Vermont· 18th of 51

$676

AK $1,995UT $316

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.