go back

Wyoming rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.56 / $316.56 / $426.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.48 / $475.48 / $475.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $182.18 / $182.18