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Eye Patch, Occlusive

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $0.28 for this service. The price depends on where it is billed: about $0.27 from a physician practice, and about $0.39 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$0.27$0.23 to $4.17
FacilityA hospital or hospital-owned outpatient department$0.39$0.33 to $0.54

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $5Professionalmedian $0 · 10th to 90th $0 to $5
$0.2$0.5$1$2$5$10facility $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. 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
Global
Typical Low
$0.32
Median
$0.32
Typical High
$0.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$5.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.25
Median
$0.39
Typical High
$0.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.18
Median
$0.22
Typical High
$10.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.54
Typical High
$0.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
United
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.22
Typical High
$0.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60

Where South Dakota 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.

South Dakota· 16th 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.