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Scleral Cover Shell

Montana rates for HCPCS V2627

Scleral cover shell

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $1,380$2,4550%20%40%10th90th$1,950Professionalmedian $1,698 · 10th–90th $776$1,9500%20%40%10th90th$1,698$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$2,454.71
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$2,454.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,174.90