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Colorado rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.79 / $313.17 / $413.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.51 / $301.58 / $486.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.45 / $413.87 / $620.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.90 / $632.97 / $964.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $182.18 / $261.36