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Fabrication and Fitting of Ocular Conformer

Rhode Island rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Professionalmedian $191 · 10th–90th $151$2820%20%10th90th$191$200.0

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
$190.55
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$245.47