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Fabrication and Fitting of Ocular Conformer

Massachusetts rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $60$5370%20%10th90th$355Professionalmedian $295 · 10th–90th $151$3800%20%10th90th$295$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$398.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$537.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$316.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$537.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$316.23