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Fitting Of A Specialty Contact Lens For Keratoconus

Maine rates for HCPCS 92072

This service is the fitting of a specialized contact lens for a person with keratoconus, a condition in which the cornea becomes thin and develops an irregular, cone-like shape. The lens is custom-fitted to improve vision by compensating for the cornea's irregular surface, and this covers the initial fitting process.

Rates data updated October 2026.

How much does Fitting Of A Specialty Contact Lens For Keratoconus cost?

$117

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $105 to $145.

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.

How much rates vary

Professionalmedian $117 · 10th to 90th $83 to $182
$100$200professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$21.88
Typical High
$28.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$16.60
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$10.96
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$123.03
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$218.78
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$109.65
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$72.44
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$21.88
Typical High
$28.84
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$16.60
Typical High
$21.88
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$10.96
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$107.15
Typical High
$169.82

Where Maine sits

The same service costs 4.1 times more in Alaska than in New Jersey. 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.

Maine· 21st of 51

$117

AK $331NJ $81.28

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.