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Unlisted Procedure On The Eye's Surface Membrane

Ohio 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?

$8,913

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8,913 for this service. The price depends on where it is billed: about $9,120 from a physician practice, and about $8,913 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 8 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$9,120$0.03 to $12,589
FacilityA hospital or hospital-owned outpatient department$8,913$3,802 to $10,715

How much rates vary

Facilitymedian $8,913 · 10th to 90th $912 to $12,589Professionalmedian $9,120 · 10th to 90th $0 to $12,589
$0.1$1$10$100$1K$10Kfacility $8,913professional $9,120

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$10,232.93
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$12,589.25
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$8,128.31
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$79,432.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$21,379.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$851.14
Typical High
$2,818.38

Where Ohio 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.

Ohio· 4th of 50

$8,913

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.