go back

Nevada rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $271.02 / $376.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $301.58 / $301.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $340.62
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $365.17 / $639.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.44 / $182.18 / $343.24