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Fabrication and Fitting of Ocular Conformer

Hawaii rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Professionalmedian $191 · 10th–90th $151$4170%20%10th90th$191$100.0$200.0$500.0$1.0K

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
$190.55
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$549.54
HMSA
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$407.38