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Eye Surface Growth Removal With Tissue Graft

West Virginia rates for HCPCS 65426

This procedure surgically removes a growth of tissue that has spread across part of the clear surface of the eye, then covers the area with a tissue graft to help it heal and reduce the chance of the growth returning. It's a more involved version of removal than one done without a graft. It's often used for growths that have recurred or are more extensive.

Rates data updated July 2026.

How much does Eye Surface Growth Removal With Tissue Graft cost?

$2,880

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $2,880 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $2,291 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$479 to $724
Facility feeThe hospital or surgery center$2,291$661 to $15,136

How much rates vary

Facilitymedian $2,291 · 10th to 90th $468 to $15,136Professionalmedian $589 · 10th to 90th $417 to $871
$500$1K$2K$5K$10Kfacility $2,291professional $589

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
$467.74
Median
$2,630.27
Typical High
$15,135.61
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$354.81
Median
$354.81
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$588.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$3,235.94
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,709.64
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$891.25

Where West Virginia sits

The same service costs 6.3 times more in California than in North Dakota. 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.

Physician feeFacility fee

West Virginia· 43rd of 50

$2,880

$589 physician + $2,291 facility

CA $10,125ND $1,609

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.