go back

Fabrication and Fitting of Ocular Conformer

Oklahoma rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $288$5250%20%10th90th$339Professionalmedian $309 · 10th–90th $123$3980%10%20%10th90th$309$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
$309.03
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$263.03