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Fabrication and Fitting of Ocular Conformer

Texas rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $245$5130%10%20%10th90th$363Professionalmedian $316 · 10th–90th $151$3980%10%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$398.11
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$616.60