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Scleral Cover Shell

Texas rates for HCPCS V2627

Scleral cover shell

Rates data updated July 2026.

How much does Scleral Cover Shell cost?

$1,349

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $1,445 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 9 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$1,349$1,023 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,445$1,230 to $1,778

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,023 to $2,138Professionalmedian $1,349 · 10th to 90th $646 to $1,514
$1K$2K$5K$10Kfacility $1,445professional $1,349

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,380.38
Typical High
$1,513.56
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$14,125.38
Typical High
$14,125.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$1,778.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,698.24
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,096.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,398.83

Where Texas 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.

Texas· 23rd of 51

$1,349

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.