go back

Delaware rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $314.36 / $376.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.50 / $182.18 / $303.63