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Scleral Cover Shell

Oregon rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$1,698

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $1,995 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$1,698$759 to $2,138
FacilityA hospital or hospital-owned outpatient department$1,995$1,995 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,738 to $3,467Professionalmedian $1,698 · 10th to 90th $759 to $2,291
$100$200$500$1K$2K$5K$10Kfacility $1,995professional $1,698

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
$1,230.27
Median
$1,698.24
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$616.60
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$186.21
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$123.03
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,466.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$1,995.26
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$691.83
Median
$851.14
Typical High
$851.14
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$275.42
Median
$338.84
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$204.17
Median
$257.04
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$138.04
Median
$169.82
Typical High
$169.82
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$8,317.64
Providence
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$758.58
Typical High
$1,949.84
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$3,311.31
Typical High
$7,943.28
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,290.87
United
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$776.25
Typical High
$912.01

Where Oregon 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.

Oregon· 7th of 51

$1,698

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.