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Fabrication and Fitting of Ocular Conformer

Alaska rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $269$5010%50%10th90th$331Professionalmedian $316 · 10th–90th $151$4170%20%10th90th$316$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$316.23
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$501.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$467.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$812.83