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Eye Patch, Occlusive

Illinois rates for HCPCS A6412

Eye patch, occlusive, each

Rates data updated October 2026.

How much does Eye Patch, Occlusive cost?

$0.28

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $0.28 for this service. The price depends on where it is billed: about $0.28 from a physician practice, and about $54.95 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.28$0.21 to $19.05
FacilityA hospital or hospital-owned outpatient department$54.95$34.67 to $145

How much rates vary

Facilitymedian $55 · 10th to 90th $30 to $245Professionalmedian $0 · 10th to 90th $0 to $19
$1$10$100facility $55professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.15
Median
$0.21
Typical High
$0.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.15
Median
$0.21
Typical High
$0.28
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.02
Median
$0.03
Typical High
$0.04
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Ambetter
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$63.10
Typical High
$251.19
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.52
Median
$0.69
Typical High
$169.82
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
None
Typical Low
$0.20
Median
$0.22
Typical High
$0.54

Where Illinois sits

The same service costs 15.5 times more in Minnesota than in Hawaii. 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.

Illinois· 25th of 51

$0.28

MN $2.95HI $0.19

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.