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Scleral Cover Shell

Texas rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$1,445

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,479 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$1,445$1,096 to $10,471
FacilityA hospital or hospital-owned outpatient department$1,479$1,349 to $1,905

How much rates vary

Facilitymedian $1,479 · 10th to 90th $1,259 to $2,089Professionalmedian $1,445 · 10th to 90th $759 to $14,454
$1K$2K$5K$10Kfacility $1,479professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$660.69
Median
$724.44
Typical High
$758.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$263.03
Median
$288.40
Typical High
$302.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$199.53
Median
$218.78
Typical High
$229.09
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$131.83
Median
$144.54
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$10,471.29
Median
$14,454.40
Typical High
$14,454.40
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,513.56
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$660.69
Median
$724.44
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$263.03
Median
$288.40
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$199.53
Median
$218.78
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$131.83
Median
$144.54
Typical High
$151.36
Molina
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Providence
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$954.99
Typical High
$1,096.48
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$2,290.87

Where Texas 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.

Texas· 16th of 51

$1,445

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.