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Iowa rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Facilitymedian $468 · 10th–90th $331–$7410%10%10th90th$468Professionalmedian $316 · 10th–90th $151–$4070%10%20%10th90th$316$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $316.23 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $478.63 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $741.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $245.47 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54