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Fabrication and Fitting of Ocular Conformer

Illinois rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $295$2950%50%100%$295Professionalmedian $316 · 10th–90th $151$5130%10%20%10th90th$316$50.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$316.23
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$295.12