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Fabrication and Fitting of Ocular Conformer

Minnesota rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $295$1,0960%10%20%10th90th$363Professionalmedian $380 · 10th–90th $191$5010%10%20%10th90th$380$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
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$537.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$2,290.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$416.87