go back

Fabrication and Fitting of Ocular Conformer

Virginia rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $214$4070%10%10th90th$288Professionalmedian $240 · 10th–90th $151$3980%10%20%10th90th$240$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
$151.36
Median
$239.88
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$812.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$218.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$371.54
Sentara
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$239.88