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Repair Of A Bulging Weak Spot In The Eye Wall

New York rates for HCPCS 66220

Surgery to repair a staphyloma — a thinned, weakened patch of the tough white outer wall of the eye that has stretched and begun to bulge outward. The surgeon reinforces and closes the weakened area so the eye keeps its shape and the wall does not give way further.

Rates data updated October 2026.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,514 to $10,965Professionalmedian $1,585 · 10th to 90th $1,585 to $1,585
$1K$2K$5K$10Kfacility $4,467professional $1,585

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$4,466.84
Typical High
$10,964.78
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$524.81
Median
$524.81
Typical High
$588.84