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Unlisted Procedure On The Eye's Surface Membrane

Montana 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?

$617

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $151 to $813.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $813 · 10th to 90th $617 to $851Professionalmedian $151 · 10th to 90th $79 to $851
$100$200$500facility $813professional $151

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
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$851.14
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53

Where Montana 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.

Montana· 45th of 50

$617

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.