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Unlisted Procedure On The Eye's Surface Membrane

Connecticut rates for HCPCS 68399

Covers an operation on the conjunctiva — the thin clear membrane that covers the white of the eye and lines the inside of the eyelids — where no standard named entry fits. The surgeon submits a written report describing exactly what was done.

Rates data updated July 2026.

How much does Unlisted Procedure On The Eye's Surface Membrane cost?

$5,248

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $5,248 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$0.02 to $54,954
FacilityA hospital or hospital-owned outpatient department$5,248$3,162 to $7,943

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,622 to $10,233Professionalmedian $65 · 10th to 90th $0 to $54,954
$0.1$1$10$100$1K$10K$100Kfacility $5,248professional $65

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,079.46
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,162.28
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$42,657.95
Median
$54,954.09
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$64.57

Where Connecticut sits

The same service costs 83.2 times more in Wisconsin than in South 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.

Connecticut· 10th of 50

$5,248

WI $12,589SD $151

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.