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Nationwide rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $316.23 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $676.08 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $263.03