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Scleral Cover Shell

Massachusetts rates for HCPCS V2627

Scleral cover shell

Rates data updated July 2026.

How much does Scleral Cover Shell cost?

$1,288

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,514 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$832 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,514$60.26 to $1,585

How much rates vary

Facilitymedian $1,514 · 10th to 90th $60 to $2,291Professionalmedian $1,288 · 10th to 90th $646 to $1,514
$100$200$500$1K$2Kfacility $1,514professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$1,698.24
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$2,290.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$1,348.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$2,290.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,348.96

Where Massachusetts sits

The same service costs 1.7 times more in Montana than in Rhode Island. 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.

Massachusetts· 36th of 51

$1,288

MT $1,698RI $977

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.