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Eye Patch, Occlusive

Illinois rates for HCPCS A6412

Eye patch, occlusive, each

Rates data updated July 2026.

How much does Eye Patch, Occlusive cost?

$0.28

Typical negotiated rate. In Illinois, July 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 $29.51 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 7 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$0.28$0.22 to $16.22
FacilityA hospital or hospital-owned outpatient department$29.51$0.21 to $70.79

How much rates vary

Facilitymedian $30 · 10th to 90th $0 to $166Professionalmedian $0 · 10th to 90th $0 to $19
$1$10$100facility $30professional $0

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
$0.21
Median
$0.21
Typical High
$0.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.18
Median
$0.25
Typical High
$0.32
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$63.10
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.34
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.66
Typical High
$158.49
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.19
United
Setting
Facility
Modifier
Global
Typical Low
$0.20
Median
$0.20
Typical High
$0.26
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.22
Typical High
$0.37

Where Illinois sits

The same service costs 16.2 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· 12th of 51

$0.28

MN $2.95HI $0.18

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.