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Eye Patch, Occlusive

Utah rates for HCPCS A6412

Eye patch, occlusive, each

Rates data updated October 2026.

How much does Eye Patch, Occlusive cost?

$0.22

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $0.22 for this service. Most negotiated rates run $0.15 to $0.28.

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.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $30
$0.2$1$5$20facility $0professional $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
$0.15
Median
$0.15
Typical High
$0.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.15
Median
$0.15
Typical High
$0.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$0.36
Median
$0.36
Typical High
$0.36
Select Health
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Select Health
Setting
Professional
Modifier
None
Typical Low
$0.83
Median
$0.83
Typical High
$5.01
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$0.22
Median
$0.31
Typical High
$0.48
United
Setting
Professional
Modifier
None
Typical Low
$0.14
Median
$0.22
Typical High
$0.33

Where Utah 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.

Utah· 49th of 51

$0.22

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.