go back

Fabrication and Fitting of Ocular Conformer

Oregon rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $331$5010%50%10th90th$479Professionalmedian $316 · 10th–90th $151$4680%10%20%10th90th$316$50.0$100.0$200.0$500.0$1.0K

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
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$501.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$549.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$489.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$467.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$275.42