Sir/Mam i am getting 468 marks in neet 19 can i get any descent private college with low fees in UP or Uttrakhand. I have a UP domicile

Dear Sir / Ma'm, with this score, you may better focus on the state counselling of that state where you have the domicile i.e. UP. With this score, you can expect the following colleges over there :

Lala Lajpat Rai Memorial Medical College ( OBC/SC/ST)

Motilal Nehru Medical College, Allahabad (OBC/SC/ST)

among the government medical colleges according to cut-off of 2018. If you are a reserved category among SC or ST, then you will have more chances at government medical colleges.

Among the private colleges, you can expect :

Shriram Murti Smarak Institute of Medical Sciences, Bareilly

Muzaffarnagar Institute of Medical Sciences

Rohilkhand Medical College, Bareilly

Rama Medical College and Hospital , Kanpur

Saraswati Institute of Medical Sciences, Hapur

Career Institute of Medical Sciences, Lucknow

to name a few.

Dear Bharti, you havent mentioned your Category. Neverthless, in 2018 under State Quota, the cut offs for various Categories have been as follows:
General Category: 469
OBC: 429
SC: 373
ST: 169
So with UP domicile it is difficult if you belong to General Category. But you have a chance if you belong to Reserved Categories. Having said that, cut offs change every year and are dependant on various factors like no.of seats availble, no.of candidates appearing for the exam, top NEET score and difficulty of the exam. You can check the cut offs of various colleges at:  https://medicine.careers360.com/articles/neet-cutoff-up
Regarding Uttarakhand, you need to apply through their All India Quota.Their cut offs for various Categories have been as follows:
General Category: 546
SC: 442
ST: 416
So, its difficult in Uttarakhand with your score.