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Fabrication and Fitting of Ocular Conformer

California rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $219$7080%20%10th90th$372Professionalmedian $316 · 10th–90th $151$4270%10%20%10th90th$316$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
$316.23
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$501.19
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$407.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$489.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$2,754.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$371.54