go back

Rhode Island rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.52 / $191.91 / $232.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.99 / $246.99 / $319.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.82 / $182.18 / $244.00