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Fabrication and Fitting of Ocular Conformer

North Carolina rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $234$4680%20%10th90th$347Professionalmedian $316 · 10th–90th $155$3980%20%10th90th$316$50.0$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
Professional
Modifier
Global
Typical Low
$151.36
Median
$316.23
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$194.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,754.23