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Scleral Cover Shell

Ohio rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$851

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,905 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$759 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,905$1,778 to $2,630

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,622 to $2,951Professionalmedian $851 · 10th to 90th $759 to $1,349
$1K$2K$5Kfacility $1,905professional $851

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
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$630.96
Median
$630.96
Typical High
$691.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$257.04
Median
$257.04
Typical High
$275.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$128.82
Median
$128.82
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,905.46
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
CareSource
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Molina
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$2,041.74
SummaCare
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$851.14
Typical High
$977.24

Where Ohio 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.

Ohio· 43rd of 51

$851

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.