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Unlisted Procedure On The Eye's Surface Membrane

Wisconsin 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?

$12,589

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $12,882 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$50.12$33.11 to $70.79
FacilityA hospital or hospital-owned outpatient department$12,882$5,248 to $19,953

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,585 to $26,915Professionalmedian $50 · 10th to 90th $32 to $3,311
$100$1K$10Kfacility $12,882professional $50

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
$14,454.40
Median
$14,454.40
Typical High
$17,782.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$13,803.84
Typical High
$30,199.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,467.37
Typical High
$6,025.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,445.44
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,949.84

Where Wisconsin 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.

Wisconsin· 1st of 50

$12,589

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.