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Eye Surface Reconstruction Using Donor Stem Cells

Wisconsin rates for HCPCS 65781

This surgery reconstructs the surface of the eye using stem cells taken from a donor rather than from the patient's own eye. It is used to treat severe damage to the cells that normally keep the clear front surface of the eye healthy and clear, a condition that can follow chemical burns, severe infections, or other significant eye injuries. Using donor tissue allows this repair even when the patient's own eye does not have enough healthy stem cells left to use.

Rates data updated July 2026.

Facilitymedian $10,233 · 10th–90th $4,677$16,9820%5%10%10th90th$10,233Professionalmedian $2,455 · 10th–90th $1,230$6,7610%5%10%10th90th$2,455$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,897.79
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$5,128.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,570.40
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,265.80
Typical High
$4,897.79
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$10,232.93
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,311.31
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$5,248.07
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,630.27
Typical High
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,801.89
Typical High
$5,888.44
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,570.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$3,890.45
Quartz
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$23,442.29
Typical High
$23,442.29
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$9,549.93
Typical High
$9,549.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$12,882.50
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$5,623.41