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Eye Patch, Occlusive

Pennsylvania 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 Pennsylvania, 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 $4,266 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$0.23 to $0.36
FacilityA hospital or hospital-owned outpatient department$4,266$0.21 to $5,012

How much rates vary

Facilitymedian $4,266 · 10th to 90th $0 to $56,234Professionalmedian $0 · 10th to 90th $0 to $0
$1$10$100$1K$10K$100Kfacility $4,266professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$0.21
Median
$0.21
Typical High
$0.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.21
Median
$0.23
Typical High
$0.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$0.36
Median
$0.36
Typical High
$0.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Geisinger
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.33
Typical High
$0.58
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$0.21
Median
$0.21
Typical High
$0.21
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$0.21
Median
$0.23
Typical High
$0.23
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$0.40
Median
$0.79
Typical High
$0.79
United
Setting
Professional
Modifier
None
Typical Low
$0.19
Median
$0.22
Typical High
$0.34

Where Pennsylvania 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.

Pennsylvania· 27th 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.