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Eye Patch, Occlusive

Utah rates for HCPCS A6412

Eye patch, occlusive, each

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$00%50%$0Professionalmedian $0 · 10th–90th $0$00%10%20%10th90th$0$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
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.28
Typical High
$0.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.36
Median
$0.36
Typical High
$0.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$5.01
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.31
Typical High
$0.35
United
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.22
Typical High
$0.33