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Scleral Cover Shell

Utah rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$776

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,660 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$741 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,660$501 to $1,995

How much rates vary

Facilitymedian $1,660 · 10th to 90th $501 to $2,042Professionalmedian $776 · 10th to 90th $501 to $1,479
$1K$2Kfacility $1,660professional $776

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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$251.19
Median
$251.19
Typical High
$691.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$100.00
Typical High
$275.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$74.13
Median
$74.13
Typical High
$204.17
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$50.12
Median
$50.12
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Molina
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,819.70
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$3,019.95
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Select Health
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$2,041.74
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$3,019.95
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$776.25
Typical High
$1,096.48

Where Utah 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.

Utah· 49th of 51

$776

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.