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Arkansas rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Facilitymedian $181,970 · 10th–90th $339–$537,0320%20%10th90th$181,970Professionalmedian $347 · 10th–90th $182–$3980%50%10th90th$347$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $346.74 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181,970.09 / $181,970.09 / $537,031.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $177.83 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $275.42