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Hospital

WILLS EYE HOSPITAL

Philadelphia, PA · CCN 390331 · Rates published

430 distinct procedures filed
11 distinct payers
3,867 rate rows
2026-05-09 last MRF observed
Data quality

3,830 of 3,867 rate rows are consumer-grade (99.0%)

37 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 30
exceeds 10× this hospital's gross charge — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.willseye.org/wp-content/uploads/2026/03/236000204_wills-eye-hospital_standardcharges.csv
Found on page https://www.willseye.org/patients-visitors/current-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint a60f13b425da2c75… · 322,167 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
65770
CPT 		Keratoprosthesis 10 $776.00 $24,453.49 $21,859.94 nat. median
$12,973
1.7× median
67027
CPT 		Impltj Intravitreal Drug Dlvr Sys Rmvl V 10 $776.00 $23,521.03 $21,026.38 nat. median
$9,997
outlier · 2.1×
113
CPT 		Orbital Procedures With Cc/mcc 5 $20,808.00 $20,808.00 $20,808.00 —
116
CPT 		Intraocular Procedures With Cc/mcc 5 $16,817.00 $16,817.00 $16,817.00 —
115
CPT 		Extraocular Procedures Except Orbit 5 $13,887.00 $13,887.00 $13,887.00 —
124
CPT 		Other Disorders Of The Eye With Mcc 5 $13,337.00 $13,337.00 $13,337.00 —
121
CPT 		Acute Major Eye Infections With Cc/mcc 5 $10,739.00 $10,739.00 $10,739.00 —
114
CPT 		Orbital Procedures Without Cc/mcc 5 $10,739.00 $10,739.00 $10,739.00 —
125
CPT 		Other Disorders Of The Eye Without Mcc 5 $9,201.00 $9,201.00 $9,201.00 —
123
CPT 		Neurological Eye Disorders 5 $9,032.00 $9,032.00 $9,032.00 —
117
CPT 		Intraocular Procedures Without Cc/mcc 5 $9,032.00 $9,032.00 $9,032.00 —
65781
CPT 		Ocular Reconst Transplant Stm Cl 9 $3,772.00 $8,970.32 $8,970.32 nat. median
$5,566
1.6× median
66175
CPT 		Trluml Dilat Aqueous Canal W/device/sten 9 $1,570.00 $8,970.32 $8,970.32 nat. median
$5,613
1.6× median
0671T
CPT 		Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwo… 7 $5,436.56 $8,970.32 $8,970.32 nat. median
$5,263
1.7× median
0449T
CPT 		Insj Aqueous Drain Dev 1st 8 $5,436.56 $8,970.32 $8,970.32 nat. median
$5,702
1.6× median
122
CPT 		Acute Major Eye Infections Without Cc/mcc 5 $8,586.00 $8,586.00 $8,586.00 —
21407
CPT 		Open Tx Fx Orbit Except Blowout W/implan 11 $776.00 $9,979.28 $7,862.47 nat. median
$6,011
1.3× median
21390
CPT 		Optx Orb Floor Blwt Fx Pri/bital Appr With 11 $776.00 $9,979.28 $7,862.47 nat. median
$6,242
1.3× median
69641
CPT 		Tympanoplasty W Mastoidectomy 11 $776.00 $9,979.28 $7,862.47 nat. median
$6,306
1.2× median
69633
CPT 		Tympanoplasty Wo Mastoidectomy 11 $1,051.00 $9,979.28 $7,862.47 nat. median
$6,066
1.3× median
69636
CPT 		Tympp Antrt/mastoid W/ossicular Chain Re 11 $776.00 $9,979.28 $7,862.47 nat. median
$6,110
1.3× median
69140
CPT 		Excision Exostosis(es) External Auditory 11 $786.00 $9,979.28 $7,862.47 nat. median
$5,750
1.4× median
21365
CPT 		Open Tx Comp Fx Malar W/internal Fx&mult 11 $776.00 $9,979.28 $7,862.47 nat. median
$6,471
1.2× median
31200
CPT 		Ethmoidestomy Intratranasal Anterior 11 $776.00 $9,979.28 $7,862.47 nat. median
$5,806
1.4× median
69631
CPT 		Tympanoplasty Wo Mastoidectomy (i 11 $924.00 $9,979.28 $7,862.47 nat. median
$6,034
1.3× median
65710
CPT 		Corneal Transplant Ant 11 $1,843.00 $8,970.32 $7,067.53 nat. median
$5,426
1.3× median
65280
CPT 		Repair Of Eye Wound Cn/sl/pf 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,136
1.4× median
66225
CPT 		Repair Scleral Staphyloma W/graft 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,168
1.4× median
65750
CPT 		Pk- Corneal Transplant/aph 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,423
1.3× median
66179
CPT 		Aqueous Shunt External Approach Without Graf 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,384
1.3× median
66180
CPT 		Tube Shunt- Aqueous Shunt Extraocular Re 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,437
1.3× median
65285
CPT 		Rpr Lac Corn&/sclra Perf W/repos/rescj U 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,183
1.4× median
67113
CPT 		Rpr Complex Retina Detach Vitrect &membr 11 $776.00 $8,970.32 $7,067.53 nat. median
$5,499
1.3× median
0810T
CPT 		Subretinal Injection 7 $4,250.50 $7,013.32 $7,013.32 nat. median
$4,888
1.4× median
66174
CPT 		Trluml Dilat Aqueous Canal Without Device/st 9 $1,570.00 $6,967.87 $6,967.87 nat. median
$4,800
1.5× median
66183
CPT 		Insertion Of Anterior Segment Aqueou O/p 9 $1,570.00 $6,967.87 $6,967.87 nat. median
$4,689
1.5× median
0660T
CPT 		Drug-eluting Implant Procedure(s) In The Eye 7 $4,222.95 $6,967.87 $6,967.87 nat. median
$4,396
1.6× median
0253T
CPT 		Insert Ant Sgm Drainage Dev Without Reservr 8 $4,222.95 $6,967.87 $6,967.87 nat. median
$5,111
1.4× median
65114
CPT 		Exntj Orbit Rmvl Orb Cnts W/musc/myoq Fl 9 $1,305.00 $6,627.31 $6,627.31 nat. median
$4,220
1.6× median
31239
CPT 		Nasal/sinus Endoscopy, Surgical; With Dacryocystorhinostomy 7 $3,809.10 $6,285.02 $6,285.02 nat. median
$3,997
1.6× median
15829
CPT 		Removal Of Skin Wrinkles 9 $1,305.00 $5,973.79 $5,973.79 nat. median
$4,311
1.4× median
15771
CPT 		Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk, Breasts,… 7 $3,620.48 $5,973.79 $5,973.79 nat. median
$4,036
1.5× median
67227
CPT 		Destruction Retinopathy 1/> Sess Diather 10 $135.00 $6,627.31 $5,924.42 nat. median
$3,781
1.6× median
61330
CPT 		Decompress Eye Socket 9 $1,570.00 $5,589.00 $5,589.00 nat. median
$3,945
1.4× median
21282
CPT 		Lateral Canthopexy 7 $3,387.27 $5,589.00 $5,589.00 nat. median
$3,451
1.6× median
66930
CPT 		Extraction Of Lens/disloc 11 $926.00 $6,967.87 $5,489.84 nat. median
$4,278
1.3× median
67036
CPT 		Vitrectomy Mechanical Pars Plana 11 $776.00 $6,967.87 $5,489.84 nat. median
$4,612
1.2× median
66600
CPT 		Irdec Crnlsclrl/crnl Sctj Rmvl Les 11 $776.00 $6,967.87 $5,489.84 nat. median
$4,265
1.3× median
65756
CPT 		Dsek- Corneal Transplant/ant/lame 11 $1,519.87 $6,967.87 $5,489.84 nat. median
$4,661
1.2× median
65730
CPT 		Pk- Corneal Transplant/pnt 11 $776.00 $6,967.87 $5,489.84 nat. median
$4,543
1.2× median

Other procedures at this hospital

Browse this hospital's 430 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
G0379 CPT Observation Direct Refer Hosp 8 8 $656.00 — $608.43 $1,003.91 $1,003.91 2026-05-09
92018 CPT Eye Exam W Gen Anest And Eval W Or W 11 11 $3,692.00 — $100.00 $4,007.82 $3,157.67 2026-05-09
69641 CPT Tympanoplasty W Mastoidectomy 11 11 $10,300.00 — $776.00 $9,979.28 $7,862.47 2026-05-09
69636 CPT Tympp Antrt/mastoid W/ossicular Chain Re 11 11 $10,300.00 — $776.00 $9,979.28 $7,862.47 2026-05-09
69633 CPT Tympanoplasty Wo Mastoidectomy 11 11 $10,300.00 — $1,051.00 $9,979.28 $7,862.47 2026-05-09
69631 CPT Tympanoplasty Wo Mastoidectomy (i 11 11 $10,300.00 — $924.00 $9,979.28 $7,862.47 2026-05-09
69620 CPT Myringoplasty (surgery Confined To Drumh 11 11 $5,640.00 — $626.00 $5,589.00 $4,403.45 2026-05-09
69450 CPT Tympanolysis Transcanal 11 11 $10,300.00 — $776.00 $5,589.00 $4,403.45 2026-05-09
69440 CPT Middle Ear Exploration Through Postauric 11 11 $10,300.00 — $770.00 $5,589.00 $4,403.45 2026-05-09
69424 CPT Ventilating Tube Removal When Originally 11 11 $3,600.00 — $544.00 $5,589.00 $4,403.45 2026-05-09
69205 CPT Removal Foreign Body From External 11 11 $5,200.00 — $520.00 $2,784.16 $2,193.58 2026-05-09
69140 CPT Excision Exostosis(es) External Auditory 11 11 $10,300.00 — $786.00 $9,979.28 $7,862.47 2026-05-09
68816 CPT Probe Nasolacrimal Duct With Catheter Di 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68815 CPT Probe Nasolacrimal Duct W/wo Irrg Insj T 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68811 CPT Probing- Probe Nasolacrimal Duct W/wo Ir 11 11 $4,300.00 — $567.00 $4,007.82 $3,157.67 2026-05-09
68770 CPT Closure Lacrimal Fistula Spx 11 11 $5,975.00 — $330.00 $4,007.82 $3,157.67 2026-05-09
68750 CPT Conjunctivorhinostomy Insj Tube/stent 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68745 CPT Conjunctivorhinostomy Without Tube 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68720 CPT Create Tear Sac Drain 11 11 $14,899.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68700 CPT Repair Tear Ducts 11 11 $4,300.00 — $926.00 $4,007.82 $3,157.67 2026-05-09
68550 CPT Exc Lacrimal Gland Tumor W/osteotomy 11 11 $3,985.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68540 CPT Exc Lacrimal Gland Tumor Frontal Approac 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68525 CPT Biopsy Of Tear Sac 10 10 $4,300.00 — $200.00 $4,007.82 $3,582.74 2026-05-09
68520 CPT Excision Lacrimal Sac 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68510 CPT Biopsy Of Tear Gland 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68505 CPT Excision Lacrimal Gland Xcpt Tumor Prtl 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68420 CPT Incise/drain Tear Sac 11 11 $4,300.00 — $330.00 $4,007.82 $3,157.67 2026-05-09
68371 CPT Harvest Eye Tissue Alograft 9 9 $5,265.00 — $926.00 $4,007.82 $4,007.82 2026-05-09
68362 CPT Conjunctival Flap Total 11 11 $5,265.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68360 CPT Conjunctival Flap Bridge/partial Spx 11 11 $5,265.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68340 CPT Separate Eyelid Adhesions 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68335 CPT Revise/graft Eyelid Lining/wfree 11 11 $6,000.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68330 CPT Revise Eyelid Lining/wo Conj 11 11 $3,510.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
68328 CPT Conjunctpl Cul-de-sac W/buccal Muc Memb 11 11 $5,975.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68326 CPT Revise/grft Eyelid Lin/recn/wcnj/grft 11 11 $4,300.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68325 CPT Conjunctivoplasty W/buccal Muc Memb Graf 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
68320 CPT Conj Externsive- Conjunctivoplasty W/grf 11 11 $9,868.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68130 CPT Excision Conj Lesion- Remove Eyelid Lini 11 11 $9,868.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
68115 CPT Excision Lesion Conjunctiva > 1 Cm 11 11 $9,868.00 — $589.00 $4,007.82 $3,157.67 2026-05-09
68110 CPT Conj Tumor Resection- Biopsy Of Eyelid L 11 11 $9,868.00 — $589.00 $4,007.82 $3,157.67 2026-05-09
67975 CPT Reconstruction Of Eyelid/2nd Stage 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67974 CPT Reconstruction Of Eyelid/upper 1 Stage 11 11 $4,300.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67973 CPT Rcnstj Eyelid Full Thickness Lower Eyeli 11 11 $5,975.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67971 CPT Rcnstj Eyelid Full Thickness </two-third 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67966 CPT Excision & Repair Eyelid One-fourth Lid 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67961 CPT Revision Of Eyelid/up To 1/4th 11 11 $9,868.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67950 CPT Canthoplasty 11 11 $4,300.00 — $459.00 $4,007.82 $3,157.67 2026-05-09
67935 CPT Repair Eyelid Wound/full/thick 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67930 CPT Sutr Wnd Eyelid/margin/tarsus/conjunc Pr 11 11 $4,300.00 — $926.00 $4,007.82 $3,157.67 2026-05-09
67924 CPT Repair Eyelid Defect/entrop/entensive 11 11 $4,300.00 — $926.00 $4,007.82 $3,157.67 2026-05-09
67923 CPT Repair Eyelid Defect/ex/tarsal 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67922 CPT Repair Eyelid Defect/therocauztn 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67921 CPT Repair Eyelid Defect/entrop/suture 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67917 CPT Repair Eyelid Defect/ectrop/st/entensive 11 11 $4,472.00 — $926.00 $4,007.82 $3,157.67 2026-05-09
67916 CPT Repair Eyelid Defect/excis/tarsal 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67914 CPT Repair Ectropion Suture 11 11 $4,300.00 — $926.00 $4,007.82 $3,157.67 2026-05-09
67912 CPT Correction Eyelid Wimplant 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67911 CPT Repair Eyelid Defect/corr/retract 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67909 CPT Reduction Overcorrection Ptosis 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67908 CPT Repair Of Blepharoptosis Conjunctivo-tar 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67906 CPT Repair Of Blepharoptosis Superior Rectus 11 11 $4,300.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67904 CPT Repair Of Blepharoptosis (tarso) Levator 11 11 $4,651.00 — $887.00 $4,007.82 $3,157.67 2026-05-09
67903 CPT Repair Of Blepharoptosis (tarso) Levator 11 11 $4,300.00 — $887.00 $4,007.82 $3,157.67 2026-05-09
67902 CPT Repair Of Blepharoptosis Frontalis Muscl 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67901 CPT Repair Of Blepharoptosis Frontalis Muscl 11 11 $4,300.00 — $887.00 $4,007.82 $3,157.67 2026-05-09
67900 CPT Repair Brow Ptosis(supracilliary Mid-for 9 9 $5,975.00 — $926.00 $4,007.82 $4,007.82 2026-05-09
67882 CPT Revision Of Eyelid/w Transport 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67880 CPT Medial Tarsarrhaphy- Constj Intermargin 11 11 $3,550.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67875 CPT Closure Of Eyelid By Suture 11 11 $2,028.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
67850 CPT Treat Eyelid Lesion 11 11 $1,950.00 — $585.00 $1,680.48 $1,324.01 2026-05-09
67840 CPT Remove Eyelid Lesion/wo Closure 11 11 $1,950.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
67835 CPT Corrj Trichiasis Inc Lid Mrgn W/fr Muc M 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67830 CPT Revise Eyelashes 11 11 $1,950.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
67808 CPT Remove Eyelid Lesion(s)/gen Anes 11 11 $4,300.00 — $509.00 $4,007.82 $3,157.67 2026-05-09
67801 CPT Remove Eyelid Lesions/same Lid 11 11 $1,950.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
67715 CPT Canthotomy (separate Procedure) O/p 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67710 CPT Incision Of Eyelid 11 11 $2,109.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
67570 CPT Optic Nerve Decompression 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67560 CPT Orbital Implant Removal/revision 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67550 CPT Orbital Implant Insertion 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67450 CPT Orbitotomy Bone Flap/window Lat Expl W/w 11 11 $8,900.00 — $1,305.00 $6,627.31 $5,221.52 2026-05-09
67445 CPT Orbitotomy Bone Flap/window Lat Rmvl Bon 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67440 CPT Explore/treat Eye Socket/w Flap/drain 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67430 CPT Orbitotomy Bone Flap/window Lateral Rmvl 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67420 CPT Orbitotomy Bone Flap/window Lat Rmvl Les 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67415 CPT Fine Needle Aspiration Orbital Contents 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67414 CPT Orbitotomy W Boneflap (fron Or Trans O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67413 CPT Orbitotomy Without Bone Flap W/rmvl Foreign 11 11 $5,975.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67412 CPT Explore/treat Eye Socket/wo Flap Lesion 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67405 CPT Orbitotomy Without Bone Flap Expl W/drainage 11 11 $5,975.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67400 CPT Anterior Orbital Biopsy- Explore/biopsy 11 11 $14,899.00 — $1,305.00 $6,627.31 $5,221.52 2026-05-09
67346 CPT Biopsy Eye Muscle 11 11 $5,000.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67343 CPT Rls Xtnsv Scar Tiss Without Detaching Eo Mus 11 11 $5,640.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67318 CPT Strabismus Any Superior Oblique Muscle 11 11 $5,640.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67316 CPT Strabismus Recession/rescj 2/more Ver Mu 11 11 $5,640.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67314 CPT Strabismus Recession/rescj 1 Ver Musc 11 11 $9,868.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
67312 CPT Revise Two Eye Muscles/2 Horizon 11 11 $5,640.00 — $945.00 $6,627.31 $5,221.52 2026-05-09
67311 CPT Revise Eye Muscle/1 Horizon 11 11 $9,868.00 — $926.00 $4,007.82 $3,157.67 2026-05-09
67255 CPT Reinforce/graft Eye Wall 11 11 $4,530.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67229 CPT Extensive Retinopathy 1/> Sess Preterm I 11 11 $1,325.00 — $330.00 $927.15 $776.00 2026-05-09
67228 CPT Treatment Of Retinal Lesion/ext/>1/photo 11 11 $1,325.00 — $135.00 $927.15 $730.48 2026-05-09
67227 CPT Destruction Retinopathy 1/> Sess Diather 10 10 $4,530.00 — $135.00 $6,627.31 $5,924.42 2026-05-09
67221 CPT Ocular Photodynamic Ther 11 11 $1,325.00 — $330.00 $927.15 $776.00 2026-05-09
67220 CPT Treatment Of Choroid Lesion 11 11 $1,325.00 — $330.00 $927.15 $730.48 2026-05-09
67218 CPT Treatment Of Retinal Lesion/>1/rad 11 11 $14,899.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
67210 CPT Treatment Of Retinal Lesion/>1/photo 11 11 $4,100.00 — $154.00 $1,230.00 $927.15 2026-05-09
67145 CPT Treatment Of Retina/>1/photo 11 11 $1,325.00 — $308.50 $927.15 $776.00 2026-05-09
67121 CPT Rmvl Implt Matrl Posterior Segment Intra 11 11 $10,033.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67120 CPT Shunt Removal- Rmvl Implnt Matl Posterio 11 11 $4,899.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67115 CPT Release Encircling Material Posterior Se 11 11 $4,530.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67113 CPT Rpr Complex Retina Detach Vitrect &membr 11 11 $16,721.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
67110 CPT Rpr Retinal Dtchmnt Injection Air/other 11 11 $4,530.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67108 CPT Rpr Retinal Dtchmnt W/vitrectomy Any Met 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67107 CPT Rpr Retinal Dtchmnt Scleral Buckling W/w 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67105 CPT Repair Detached Retina/> 1 11 11 $4,100.00 — $330.00 $927.15 $730.48 2026-05-09
67101 CPT Rpr Retinal Dtchmnt 1/>ses Cryotx/dthrm 11 11 $4,530.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67043 CPT Vitrectomy Pars Plana Remove Subretinal 11 11 $9,140.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67042 CPT Vitrectomy Pars Plana Remove Int Memb Re 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67041 CPT Vitrectomy Pars Plana Remove Preretinal 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67040 CPT Vtrectomy Mchnl Pars Plna Endolaser Panr 11 11 $9,140.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67039 CPT Vitrectomy Mchnl Pars Plna Focal Endolas 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67036 CPT Vitrectomy Mechanical Pars Plana 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
67031 CPT Laser Surgery Eye Strands 11 11 $1,325.00 — $330.00 $927.15 $776.00 2026-05-09
67030 CPT Discission Vitreous Strans Pars Plana Ap 11 11 $4,530.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67027 CPT Impltj Intravitreal Drug Dlvr Sys Rmvl V 10 10 $20,500.00 — $776.00 $23,521.03 $21,026.38 2026-05-09
67025 CPT Inj Substitute Pars Plana/limbl W/wo Asp 11 11 $9,140.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67015 CPT Aspiration/release Vitreous Subretinal/c 11 11 $9,506.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
67010 CPT Rmvl Vitreous Ant Appr Subtot Rmvl Mech 11 11 $9,140.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
67005 CPT Rmvl Vitreous Ant Appr Partial Removal 11 11 $4,530.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66999 CPT Eye Surgery Procedure/ant Seg 9 9 $3,450.00 — $700.00 $3,890.39 $3,890.39 2026-05-09
66986 CPT Exchange Intraocular Lens 11 11 $10,033.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66985 CPT Insert Lens Prosthesis 11 11 $7,240.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66984 CPT Cataract Removal Insertion Of Lens 11 11 $10,376.00 — $1,654.00 $3,890.39 $3,065.15 2026-05-09
66983 CPT Cataract- Icapsular Cataract Xtrj Insj I 11 11 $7,240.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66982 CPT Cataract Surgery Complex 11 11 $10,376.00 — $1,654.00 $3,890.39 $3,065.15 2026-05-09
66930 CPT Extraction Of Lens/disloc 11 11 $6,575.00 — $926.00 $6,967.87 $5,489.84 2026-05-09
66920 CPT Extraction Of Lens/intra 11 11 $6,575.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66852 CPT Removal Of Lens Material/pars 11 11 $6,575.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
66850 CPT Removal Of Lens Material/phaco 11 11 $6,575.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66840 CPT Removal Of Lens Material/asp 11 11 $3,550.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66830 CPT Removal Of Lens Lesion 11 11 $2,400.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66825 CPT Reposition Intraocular Lens 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66821 CPT After Cataract Laser Surgery 11 11 $1,433.00 — $330.00 $927.15 $776.00 2026-05-09
66770 CPT Removal Of Inner Eye Lesion 11 11 $1,325.00 — $330.00 $927.15 $776.00 2026-05-09
66762 CPT Revision Of Iris/photo 11 11 $1,325.00 — $330.00 $927.15 $795.00 2026-05-09
66761 CPT Revision Of Iris/laser 11 11 $1,325.00 — $330.00 $927.15 $795.00 2026-05-09
66740 CPT Cpc- Destruction Ciliary Body/cyclodia 11 11 $5,265.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
66720 CPT Destruction Ciliary Body/cryo 11 11 $3,550.00 — $591.00 $4,007.82 $3,157.67 2026-05-09
66711 CPT I-tract Ciliary Body Dstrj Cyclophotocoa 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66710 CPT Cpc- I-track- Ciliary Transsleral Therap 11 11 $9,868.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
66700 CPT Destruction Ciliary Body 9 9 $3,550.00 — $700.00 $3,890.39 $3,890.39 2026-05-09
66682 CPT Suture Iris Ciliary Body Spx Retrieval S 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66680 CPT Repair Iris Ciliary Body 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66635 CPT Irdec Crnlsclrl/crnl Sctj Optical Spx 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66630 CPT Irdec Crnlsclrl/crnl Sctj Sector Glc Spx 11 11 $5,265.00 — $700.00 $3,890.39 $3,065.15 2026-05-09
66605 CPT Irdec Crnlsclrl/crnl Sctj Cyclectomy 11 11 $9,345.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66600 CPT Irdec Crnlsclrl/crnl Sctj Rmvl Les 11 11 $5,265.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
66250 CPT Wound Revision- Revj/rpr Oprative Wound 11 11 $8,210.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
66225 CPT Repair Scleral Staphyloma W/graft 11 11 $9,345.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
66185 CPT Revise Eye Shunt 11 11 $10,033.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66183 CPT Insertion Of Anterior Segment Aqueou O/p 9 9 $9,345.00 — $1,570.00 $6,967.87 $6,967.87 2026-05-09
66180 CPT Tube Shunt- Aqueous Shunt Extraocular Re 11 11 $16,721.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
66179 CPT Aqueous Shunt External Approach Without Graf 11 11 $9,345.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
66175 CPT Trluml Dilat Aqueous Canal W/device/sten 9 9 $9,345.00 — $1,570.00 $8,970.32 $8,970.32 2026-05-09
66174 CPT Trluml Dilat Aqueous Canal Without Device/st 9 9 $9,345.00 — $1,570.00 $6,967.87 $6,967.87 2026-05-09
66172 CPT Trab W/previous Trab- Incision Of Eye/w 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66170 CPT Glaucoma Surgery/trabeculectomy 11 11 $10,033.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
66160 CPT Glaucoma Surgery/scl 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
66150 CPT Glaucoma Surgery/trph 11 11 $5,265.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
66130 CPT Excision Lesion Sclera 11 11 $5,265.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
66030 CPT Injx Anterior Chamber Eye Medication Spx 11 11 $3,550.00 — $700.00 $3,890.39 $3,065.15 2026-05-09
66020 CPT Injx Anterior Chamber Eye Air/liquid Spx 11 11 $3,550.00 — $700.00 $3,890.39 $3,065.15 2026-05-09
65930 CPT Rmvl Blood Clot Anterior Segment Eye 11 11 $9,345.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65920 CPT Remove Implant Of Eye 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65875 CPT Severing Ads Ant Seg Incal Spx Post Syne 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65870 CPT Severing Ads Ant Seg Incal Spx Ant Synec 9 9 $5,265.00 — $926.00 $3,890.39 $3,890.39 2026-05-09
65865 CPT Incise Inner Eye Adhesions/inj/goni 11 11 $3,550.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65860 CPT Incise Inner Eye Adhesions 11 11 $1,325.00 — $205.36 $927.15 $730.48 2026-05-09
65855 CPT Laser Surgery Of Eye 11 11 $1,325.00 — $330.00 $927.15 $776.00 2026-05-09
65850 CPT Incision Of Eye 11 11 $5,265.00 — $926.00 $3,890.39 $3,065.15 2026-05-09
65820 CPT Goniotomy- Relieve Inner Eye Pressure 11 11 $5,265.00 — $926.00 $6,967.87 $5,489.84 2026-05-09
65815 CPT Paracen Ant Cham Rmvl Blood W/wo Irrig&/ 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65810 CPT Paracentsis Ant Cham Rmvl Vitreous W/wo 11 11 $5,265.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65785 CPT Implant Of Intras Corneal Ring Seg 11 11 $5,265.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
65782 CPT Occular Surface Reconstruction Limbal Au 11 11 $9,300.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65781 CPT Ocular Reconst Transplant Stm Cl 9 9 $9,300.00 — $3,772.00 $8,970.32 $8,970.32 2026-05-09
65780 CPT Ocular Surface Reconstruction Amniotic M 11 11 $9,300.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65778 CPT Cover Eye Wmembrane 11 11 $3,550.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
65775 CPT Corneal Wedge Resection 9 9 $3,550.00 — $926.00 $4,007.82 $4,007.82 2026-05-09
65772 CPT Correction Of Astigmatism 11 11 $3,550.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
65770 CPT Keratoprosthesis 10 10 $27,600.00 — $776.00 $24,453.49 $21,859.94 2026-05-09
65765 CPT Revision Of Cornea 2 2 $27,600.00 — $926.00 $926.00 $926.00 2026-05-09
65756 CPT Dsek- Corneal Transplant/ant/lame 11 11 $16,721.00 — $1,519.87 $6,967.87 $5,489.84 2026-05-09
65755 CPT Pk-corneal Transplant/pseud 11 11 $10,059.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
65750 CPT Pk- Corneal Transplant/aph 11 11 $9,300.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
65730 CPT Pk- Corneal Transplant/pnt 11 11 $16,721.00 — $776.00 $6,967.87 $5,489.84 2026-05-09
65710 CPT Corneal Transplant Ant 11 11 $9,300.00 — $1,843.00 $8,970.32 $7,067.53 2026-05-09
65600 CPT Multiple Punctures Anterior Cornea 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
65436 CPT Rmvl Corneal Epithelium W/appl Chelating 11 11 $3,550.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
65435 CPT Curette/treat Cornea 11 11 $1,950.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
65430 CPT Corneal Smear 9 9 $550.00 — $88.00 $753.06 $753.06 2026-05-09
65426 CPT Pterygium- Removal Of Eye Lesion W Graft 11 11 $5,265.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
65420 CPT Removal Of Eye Lesion Wo Graft 11 11 $3,550.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
65410 CPT Biopsy Of Cornea 11 11 $3,550.00 — $330.00 $4,007.82 $3,157.67 2026-05-09
65400 CPT Removal Of Eye Lesion 11 11 $3,550.00 — $700.00 $1,680.48 $1,324.01 2026-05-09
65290 CPT Repair Of Eye Socket Wound 11 11 $5,640.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65285 CPT Rpr Lac Corn&/sclra Perf W/repos/rescj U 11 11 $9,140.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
65280 CPT Repair Of Eye Wound Cn/sl/pf 11 11 $7,000.00 — $776.00 $8,970.32 $7,067.53 2026-05-09
65275 CPT Rpr Lac Cornea Nonperfor W/wo Rmvl Forei 11 11 $5,265.00 — $729.00 $6,627.31 $5,221.52 2026-05-09
65272 CPT Rpr Lac Cjnc Moblj& Reargmt Without Hospital 11 11 $5,265.00 — $38.50 $4,007.82 $3,157.67 2026-05-09
65270 CPT Repair Of Eye Wound W Wo Nonpf 11 11 $4,300.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
65265 CPT Remove Foreign Body From Eye In/pt/non 11 11 $4,530.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65235 CPT Remove Foreign Body From Eye In/an 11 11 $3,550.00 — $776.00 $3,890.39 $3,065.15 2026-05-09
65175 CPT Removal Of Ocular Implant 11 11 $4,300.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65155 CPT Reinsertion Of Ocular Implant W Use O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65150 CPT Reinsertion Of Ocular Implant W Or W 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65140 CPT Insertion Of Ocular Implant Sec Af O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65135 CPT Insj Oc Implt After Encl Musc X Attached 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65130 CPT Insj Oc Implt Sec After Evsc Scll Shell 11 11 $5,975.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65125 CPT Modificaj Oc Implt W/plmt/rplcmt Pegs Sp 11 11 $5,975.00 — $776.00 $4,007.82 $3,157.67 2026-05-09
65114 CPT Exntj Orbit Rmvl Orb Cnts W/musc/myoq Fl 9 9 $8,900.00 — $1,305.00 $6,627.31 $6,627.31 2026-05-09
65110 CPT Exenteration Orbit Remvl Orbital Content 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65105 CPT Remove Eye/attach Implant 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65103 CPT Enucleat Of Eye W Implt Muscls Not O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65101 CPT Enucleation Of Eye Wo Implant O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65093 CPT Evisceration Of Ocula Conts W Implan O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
65091 CPT Evisceration Of Ocula Conts Wo Impla O/p 11 11 $8,900.00 — $776.00 $6,627.31 $5,221.52 2026-05-09
64742 CPT Transection/avulsion Facial Nrv Differen 11 11 $4,150.00 — $776.00 $3,291.78 $2,593.53 2026-05-09
64732 CPT Transection/avulsion Supraorbital Nerve 11 11 $4,150.00 — $700.00 $3,291.78 $2,593.53 2026-05-09
64722 CPT Decompression Unspecified Nerve O/p 11 11 $4,150.00 — $773.00 $3,291.78 $2,593.53 2026-05-09
62270 CPT Spinal Puncture, Lumbar, Diagnostic 7 7 $1,040.00 — $721.17 $1,189.93 $1,189.93 2026-05-09
61330 CPT Decompress Eye Socket 9 9 $10,300.00 — $1,570.00 $5,589.00 $5,589.00 2026-05-09
40818 CPT Excise Oral Mucosa For Graft 11 11 $725.00 — $88.00 $1,081.00 $909.17 2026-05-09
37609 CPT Temporal Artery Procedure O/p 11 11 $3,661.00 — $408.00 $2,784.16 $2,193.58 2026-05-09
31239 CPT Nasal/sinus Endoscopy, Surgical; With Dacryocystorhinostomy 7 7 $5,700.00 — $3,809.10 $6,285.02 $6,285.02 2026-05-09
31200 CPT Ethmoidestomy Intratranasal Anterior 11 11 $9,140.00 — $776.00 $9,979.28 $7,862.47 2026-05-09
30930 CPT Fracture Nasal Inferior Turbinate Therap 11 11 $5,640.00 — $926.00 $5,589.00 $4,403.45 2026-05-09
21407 CPT Open Tx Fx Orbit Except Blowout W/implan 11 11 $10,300.00 — $776.00 $9,979.28 $7,862.47 2026-05-09
21401 CPT Closed Tx Orbit W Manipulj 11 11 $1,575.00 — $700.00 $2,615.56 $2,060.75 2026-05-09
21390 CPT Optx Orb Floor Blwt Fx Pri/bital Appr With 11 11 $10,300.00 — $776.00 $9,979.28 $7,862.47 2026-05-09
21365 CPT Open Tx Comp Fx Malar W/internal Fx&mult 11 11 $10,300.00 — $776.00 $9,979.28 $7,862.47 2026-05-09
21282 CPT Lateral Canthopexy 7 7 $1,230.00 — $3,387.27 $5,589.00 $5,589.00 2026-05-09
21280 CPT Medial Canthopexy Separate Procedure 11 11 $4,560.00 — $776.00 $5,589.00 $4,403.45 2026-05-09
21016 CPT Rad Resection Tumor Soft Tiss Face/scalp 11 11 $7,240.00 — $776.00 $4,896.59 $3,857.92 2026-05-09
21015 CPT Rad Resection Tumor Soft Tiss Face/scalp 11 11 $7,240.00 — $700.00 $4,896.59 $3,857.92 2026-05-09
21013 CPT Excision, Tumor, Soft Tissue Of Face And Scalp, Subfascial; Less Than 2 Cm 7 7 $800.00 — $1,687.37 $2,784.16 $2,784.16 2026-05-09
20680 CPT Remove Implant Deep 11 11 $5,200.00 — $720.00 $4,896.59 $3,857.92 2026-05-09
20670 CPT Removeof Support Implant Op 11 11 $3,350.00 — $657.00 $2,784.16 $2,193.58 2026-05-09
15829 CPT Removal Of Skin Wrinkles 9 9 $4,740.00 — $1,305.00 $5,973.79 $5,973.79 2026-05-09
15824 CPT Removal Of Forehead Wrinkles 9 9 $4,740.00 — $700.00 $3,478.15 $3,478.15 2026-05-09
15823 CPT Blepharoplasty Wuuper Eyelid With Excess 11 11 $4,930.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15822 CPT Blepharoplasty Upper Eyelid 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15821 CPT Blepharoplasty Lower Eyelid With Extens 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15820 CPT Blepharoplasty Lower Eyelid 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15773 CPT Grafting Of Autologous Fat By Liposuction 25 Cc Or Less 7 7 $780.00 — $2,107.97 $3,478.15 $3,478.15 2026-05-09
15771 CPT Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk, Breasts,… 7 7 $800.00 — $3,620.48 $5,973.79 $5,973.79 2026-05-09
15770 CPT Graft Derma-fat-fascia O/p 11 11 $4,740.00 — $776.00 $5,973.79 $4,706.62 2026-05-09
15760 CPT Composite Skin Graft 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15731 CPT Forehead Flap W Presev Of Vascular O/p 11 11 $6,775.00 — $776.00 $5,973.79 $4,706.62 2026-05-09
15576 CPT Frmj Direct/tubed Pedicle W/wotr E/n/e/l 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15574 CPT Frmj Dir/tube Pedcl W/wotr Fh/ch/ch/m/n/ 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15570 CPT Formation Of Direct Or Tubed Ped W/w O/p 11 11 $4,740.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15260 CPT Skin Full Graft Een & Lips 11 11 $3,475.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15220 CPT Skin Full Graft Sclp/arm/leg 11 11 $3,475.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
15200 CPT Skin Full Graft Trunk 11 11 $3,475.00 — $776.00 $3,478.15 $2,740.36 2026-05-09
15120 CPT Skn Splt A-grft Fac/nck/hf/g 11 11 $4,740.00 — $565.00 $5,973.79 $4,706.62 2026-05-09
15100 CPT Skin Splt Grft Trnk/arm/leg 11 11 $4,740.00 — $571.00 $3,478.15 $2,740.36 2026-05-09
15004 CPT Surg Prep/Create Recipient Site, Face/Hnd/Ft/Gen; First 100 Sq Cm 7 7 $600.00 — $415.32 $685.28 $685.28 2026-05-09
14061 CPT Tis Trnfr E/n/e/l10.1-30sqcm 11 11 $3,475.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
14060 CPT Tis Trnfr E/n/e/l 10 Sq Cm/< 11 11 $3,475.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
14040 CPT Tis Trnfr F/c/c/m/n/a/g/h/f 11 11 $3,475.00 — $700.00 $3,478.15 $2,740.36 2026-05-09
13151 CPT Cmplx Rpr E/n/e/l 1.1-2.5 Cm 11 11 $1,200.00 — $88.00 $1,245.88 $981.60 2026-05-09
125 CPT Other Disorders Of The Eye Without Mcc 5 5 $13,828.80 — $9,201.00 $9,201.00 $9,201.00 2026-05-09
124 CPT Other Disorders Of The Eye With Mcc 5 5 $22,478.23 — $13,337.00 $13,337.00 $13,337.00 2026-05-09
123 CPT Neurological Eye Disorders 5 5 $12,743.40 — $9,032.00 $9,032.00 $9,032.00 2026-05-09
122 CPT Acute Major Eye Infections Without Cc/mcc 5 5 $11,082.34 — $8,586.00 $8,586.00 $8,586.00 2026-05-09
121 CPT Acute Major Eye Infections With Cc/mcc 5 5 $19,702.82 — $10,739.00 $10,739.00 $10,739.00 2026-05-09
117 CPT Intraocular Procedures Without Cc/mcc 5 5 $16,133.06 — $9,032.00 $9,032.00 $9,032.00 2026-05-09
11646 CPT Excision Malignant Lesion F/e/e/n/l >4. 11 11 $3,520.00 — $776.00 $4,896.59 $3,857.92 2026-05-09
11644 CPT Exc F/e/e/n/l Mal+mrg 3.1-4 11 11 $3,525.00 — $700.00 $2,784.16 $2,193.58 2026-05-09
11643 CPT Exc F/e/e/n/l Mal+mrg 2.1-3 11 11 $1,825.00 — $330.00 $2,784.16 $2,193.58 2026-05-09
11642 CPT Exc F/e/e/n/l Mal+mrg 1.1-2 11 11 $1,065.00 — $330.00 $1,193.73 $940.51 2026-05-09
11641 CPT Exc F/e/e/n/l Mal+mrg 0.6-1 11 11 $1,065.00 — $330.00 $1,193.73 $940.51 2026-05-09
11640 CPT Exc F/e/e/n/l Mal+mrg 0.5cm< 11 11 $8,900.00 — $330.00 $1,193.73 $940.51 2026-05-09
116 CPT Intraocular Procedures With Cc/mcc 5 5 $30,471.60 — $16,817.00 $16,817.00 $16,817.00 2026-05-09
115 CPT Extraocular Procedures Except Orbit 5 5 $24,488.23 — $13,887.00 $13,887.00 $13,887.00 2026-05-09
11443 CPT Exc Benign Lesion Face 2.1 - 3cm 7 7 $2,430.00 — $1,687.37 $2,784.16 $2,784.16 2026-05-09
11442 CPT Exc Face-mm B9+marg 1.1-2 Cm 11 11 $1,825.00 — $330.00 $1,193.73 $940.51 2026-05-09
11441 CPT Exc Face-mm B9+marg 0.6-1 Cm 11 11 $1,065.00 — $330.00 $1,193.73 $940.51 2026-05-09
11440 CPT Exc Face-mm B9+marg 0.5 Cm/< 11 11 $1,065.00 — $330.00 $1,193.73 $940.51 2026-05-09
11402 CPT Exc B9 Les Mrgn Xcp Sk Tg T/a/l 1.1-2.0 11 11 $1,325.00 — $330.00 $1,193.73 $940.51 2026-05-09
114 CPT Orbital Procedures Without Cc/mcc 5 5 $20,949.02 — $10,739.00 $10,739.00 $10,739.00 2026-05-09
113 CPT Orbital Procedures With Cc/mcc 5 5 $36,167.14 — $20,808.00 $20,808.00 $20,808.00 2026-05-09
10061 CPT Incision & Drainage Abscess Complicated/ 11 11 $3,525.00 — $88.00 $685.28 $600.00 2026-05-09
0810T CPT Subretinal Injection 7 7 $6,375.75 — $4,250.50 $7,013.32 $7,013.32 2026-05-09
0671T CPT Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwo… 7 7 $7,740.00 — $5,436.56 $8,970.32 $8,970.32 2026-05-09
0660T CPT Drug-eluting Implant Procedure(s) In The Eye 7 7 $6,034.00 — $4,222.95 $6,967.87 $6,967.87 2026-05-09
0449T CPT Insj Aqueous Drain Dev 1st 8 8 $7,000.00 — $5,436.56 $8,970.32 $8,970.32 2026-05-09
0402T CPT Corneal Collagen Cross-linking, Including The Removal Of The Corneal Epithelium … 7 7 $3,500.00 — $2,428.98 $4,007.82 $4,007.82 2026-05-09
0253T CPT Insert Ant Sgm Drainage Dev Without Reservr 8 8 $4,870.00 — $4,222.95 $6,967.87 $6,967.87 2026-05-09
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