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Eye Patch, Occlusive

North Carolina rates for HCPCS A6412

Eye patch, occlusive, each

Rates data updated July 2026.

How much does Eye Patch, Occlusive cost?

$0.25

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $0.25 for this service. The price depends on where it is billed: about $0.25 from a physician practice, and about $0.33 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 6 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$0.25$0.23 to $0.30
FacilityA hospital or hospital-owned outpatient department$0.33$0.32 to $0.44

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$1$5$20$100facility $0professional $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
$0.32
Median
$0.32
Typical High
$0.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.27
Typical High
$0.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.35
Typical High
$0.55
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.17
Typical High
$0.22
United
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.20
Typical High
$0.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$10.23

Where North Carolina 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.

North Carolina· 37th of 51

$0.25

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.