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Scleral Cover Shell

Virginia rates for HCPCS V2627

Scleral cover shell

Rates data updated October 2026.

How much does Scleral Cover Shell cost?

$955

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,585 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$955$776 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,585$1,585 to $1,738

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,023 to $3,388Professionalmedian $955 · 10th to 90th $759 to $1,950
$1K$2K$5K$10Kfacility $1,585professional $955

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
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$478.63
Median
$478.63
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$190.55
Median
$190.55
Typical High
$218.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$144.54
Median
$144.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$95.50
Median
$95.50
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$1,905.46
Medcost
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,290.87
Medcost
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,288.25
Sentara
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,778.28
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$776.25
Typical High
$870.96

Where Virginia sits

The same service costs 2.7 times more in Hawaii 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.

Virginia· 36th of 51

$955

HI $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.