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Unlisted Procedure On The Eye's Surface Membrane

Oregon 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?

$724

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $4,898 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$79.43$79.43 to $79.43
FacilityA hospital or hospital-owned outpatient department$4,898$912 to $7,943

How much rates vary

Facilitymedian $4,898 · 10th to 90th $708 to $19,953Professionalmedian $79 · 10th to 90th $71 to $87
$100$1K$10K$100K$1Mfacility $4,898professional $79

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
$7,943.28
Median
$7,943.28
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$707.95
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,659,586.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,311.31
Typical High
$5,128.61

Where Oregon 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.

Oregon· 41st of 50

$724

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.