go back

Fabrication and Fitting of Ocular Conformer

Arizona rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $166$4470%20%10th90th$324Professionalmedian $275 · 10th–90th $151$3980%10%20%10th90th$275$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$295.12
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$263.03