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Scleral Cover Shell

Virginia rates for HCPCS V2627

Scleral cover shell

Rates data updated July 2026.

How much does Scleral Cover Shell cost?

$1,096

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,230 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 8 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$1,023$813 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,230$1,023 to $1,479

How much rates vary

Facilitymedian $1,230 · 10th to 90th $912 to $1,738Professionalmedian $1,023 · 10th to 90th $646 to $1,698
$1K$2K$5Kfacility $1,230professional $1,023

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
$645.65
Median
$1,096.48
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$3,467.37
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,122.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,584.89
Sentara
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,023.29

Where Virginia 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.

Virginia· 47th of 51

$1,096

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.