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Utah rates for HCPCS A6412

Eye patch, occlusive, each

Professionalmedian $1 · 10th–90th $0$50%20%10th90th$1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $3.63 / $5.01
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.31 / $0.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.22 / $0.33