| Code | Description | States | Median rate |
|---|---|---|---|
| 65091 | Removal of the eye contents, no implant | 48 | $535.73 |
| 65093 | Removal of the eye contents with implant | 48 | $544.51 |
| 65101 | Removal of the eyeball, no implant | 48 | $608.27 |
| 65103 | Removal of the eyeball with implant, muscles not attached | 48 | $645.37 |
| 65105 | Removal of the eyeball with implant, muscles attached | 48 | $700.60 |
| 65110 | Removal of all eye socket contents | 48 | $937.42 |
| 65150 | Eye implant reinsertion | 47 | $512.58 |
| 65175 | Eye implant removal | 47 | $565.48 |
| 65205 | Removal of a surface foreign body from the eye membrane | 48 | $29.36 |
| 65220 | Removal of a corneal foreign body without a slit lamp | 48 | $51.41 |
| 65222 | Removal of a corneal foreign body with a slit lamp | 48 | $56.03 |
| 65235 | Foreign body removal from the front of the eye or lens | 48 | $527.56 |
| 65260 | Magnetic removal of a foreign body from the back of the eye | 48 | $682.09 |
| 65265 | Non-magnetic foreign body removal from the back of the eye | 48 | $783.44 |
| 65290 | Repair of an eye muscle or tendon wound | 48 | $366.88 |
| 65420 | Removal of a pterygium, no graft | 48 | $417.55 |
| 65426 | Removal of a pterygium, with graft | 48 | $519.69 |
| 65430 | Corneal scraping for lab testing | 47 | $93.51 |
| 65710 | Corneal transplant, front layers only | 48 | $838.68 |
| 65730 | Full-thickness corneal transplant, natural lens | 48 | $942.81 |
| 65750 | Full-thickness corneal transplant, no lens | 48 | $949.14 |
| 65755 | Full-thickness corneal transplant, artificial lens | 48 | $923.39 |
| 65756 | Corneal transplant, inner layer (endothelial) | 48 | $832.51 |
| 65757 | Donor cornea inner-layer graft preparation (add-on) | 17 | $108.53 |
| 65760 | Corneal reshaping surgery (keratomileusis) | 15 | $958.02 |
| 65765 | Corneal lens implant surgery (keratophakia) | 20 | $990.00 |
| 65767 | Corneal onlay graft (epikeratoplasty) | 16 | $963.52 |
| 65770 | Artificial cornea implant (keratoprosthesis) | 46 | $1,047.20 |
| 65778 | Amniotic membrane placed on the eye, no stitches | 46 | $991.47 |
| 65779 | Amniotic membrane placed on the eye, sutured | 44 | $897.35 |
| 65780 | Eye surface reconstruction with amniotic membrane layers | 44 | $516.73 |
| 65781 | Eye surface reconstruction with own limbal graft | 41 | $931.67 |
| 65782 | Eye surface reconstruction with donor limbal stem cells | 44 | $843.46 |
| 65785 | Corneal ring segment implant (Intacs) | 37 | $1,674.84 |
| 65820 | Eye drainage angle incision (goniotomy) | 48 | $584.02 |
| 65855 | Laser treatment to improve eye fluid drainage (glaucoma) | 48 | $229.35 |
| 65920 | Removal of an implant from the front of the eye | 48 | $565.51 |
| 65930 | Removal of a blood clot from the front of the eye | 48 | $483.92 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.