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Eye Patch, Occlusive

Montana rates for HCPCS A6412

Eye patch, occlusive, each

Rates data updated October 2026.

How much does Eye Patch, Occlusive cost?

$0.52

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $0.52 for this service. The price depends on where it is billed: about $0.52 from a physician practice, and about $0.52 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.52$0.37 to $0.56
FacilityA hospital or hospital-owned outpatient department$0.52$0.42 to $0.58

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $1 · 10th to 90th $0 to $79
$0.2$1$5$20facility $1professional $1

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
Professional
Modifier
None
Typical Low
$0.15
Median
$0.26
Typical High
$0.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$0.33
Median
$0.49
Typical High
$0.62
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.42
Typical High
$0.62
Providence
Setting
Facility
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Providence
Setting
Professional
Modifier
None
Typical Low
$0.52
Median
$0.52
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$0.22
Median
$0.22
Typical High
$0.36

Where Montana 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.

Montana· 2nd of 51

$0.52

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.