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Fabrication and Fitting of Ocular Conformer

South Carolina rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $195$4170%20%10th90th$331Professionalmedian $309 · 10th–90th $151$3800%20%10th90th$309$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
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$234.42