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Unlisted Procedure On The Eye's Surface Membrane

Virginia 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?

$4,786

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,074 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 5 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$4,074$2,692 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,248$2,042 to $8,318

How much rates vary

Facilitymedian $5,248 · 10th to 90th $871 to $11,482Professionalmedian $4,074 · 10th to 90th $1,230 to $10,000
$200$500$1K$2K$5K$10Kfacility $5,248professional $4,074

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
$3,235.94
Median
$5,888.44
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,951.21
Typical High
$3,548.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71

Where Virginia 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.

Virginia· 13th of 50

$4,786

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.