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Scleral Cover Shell

Arizona rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$813

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $776 to $1,175.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,778 · 10th to 90th $447 to $2,884Professionalmedian $813 · 10th to 90th $741 to $1,445
$500$1K$2K$5K$10Kfacility $1,778professional $813

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
$812.83
Median
$812.83
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$407.38
Median
$407.38
Typical High
$691.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$162.18
Median
$162.18
Typical High
$275.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$123.03
Median
$123.03
Typical High
$204.17
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$1,862.09
Typical High
$2,818.38
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medica
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,148.15
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,096.48
Typical High
$10,232.93
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$776.25
Typical High
$1,096.48

Where Arizona sits

The same service costs 2.7 times more in Montana 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.

Arizona· 44th of 51

$813

MT $2,042NJ $759

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.