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Fabrication and Fitting of Ocular Conformer

Tennessee rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $1,995 · 10th–90th $1,995$1,9950%50%100%$1,995Professionalmedian $316 · 10th–90th $151$3800%20%10th90th$316$50.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$208.93