HCPCS V2628 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Vision Services • Eye Prosthetics and Services |
| Complexity Level | Moderate |
National average reimbursement for HCPCS V2628 by major payers:
$374.86
$214.47
$311.83
$299.98
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS V2628 | ||||||
United | V2628 | $165.41 | 1902837305 - FLORIDA O & P SERVICES INC | 593473158 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $212.53 | 1801264254 - ORTHOTIC & PROSTHETIC CENTERS, INC., ORTHOTIC & PROSTHETIC CENTER OF BROWARD | 592139250 - ORTHOTIC AND PROSTHETIC CENTER, INC. | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $168.78 | 1053477687 - KENNEDY WHITE & RIGGS ORTHOPEDIC ASSOCIATES, KENNEDY-WHITE ORTHOPAEDIC CENTER | 592227075 - (FL) KENNEDY WHITE ORTHOPAEDIC CENTER | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $164.66 | 1154344414 - GORDIAN MEDICAL VIII, INC., AMERICAN MEDICAL TECHNOLOGIES | 201138476 - (FL) GORDIAN MEDICAL VIII INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $150.78 | 1689603300 - M. DAVIS MANAGEMENT, INC., PROXIMED | 593143582 - (FL) M. DAVIS MANAGEMENT, INC. | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2628 | $212.53 | 1376039032 - ORTHOTIC & PROSTHETIC CENTERS, INC., ORTHOTIC & PROSTHETIC CENTER OF LAKELAND | 592139250 - ORTHOTIC AND PROSTHETIC CENTER, INC. | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $240.74 | 1386755163 - MATRIX MEDICAL LLC | 201606430 - (FL) MATRIX MEDICAL LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $231.14 | 1770655607 - CLINICARE MEDICAL RESOURCES, INC., CLINICARE HOME MEDICAL | 593351873 - (FL) CLINICARE MEDICAL RESOURCES INC | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2628 | $123.48 | 1629061007 - TAMPA BAY ORTHOPAEDIC DESIGNS INC | 593351071 - (FL) TAMPA BAY ORTHOPAEDIC DESIGNS INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $173.36 | 1649274556 - MOBILE PROSTHETICS & ORTHOTICS, INC., PROSTHETIC & ORTHOTIC ASSOCIATES | 593232766 - (FL) MOBILE PROSTHETICS ORTHOTICS INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $164.66 | 1396779070 - SLEEPMED THERAPIES INC. | 43133400 | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $212.53 | 1255356945 - ZEPHYRHILLS BRACE & LIMB, INC. | 592823915 - (FL) ZEPHYRHILLS BRACE LIMB INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $178.38 | 1124404587 - ORTHOPARTNERS, INC., RESTORE POC | 330846785 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $114.51 | 1538355250 - GULF COAST ORTHOTICS & PROSTHETICS CENTER, LLC | 260868757 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $123.48 | 1831126275 - FLORIDA BRACE & LIMB, INC. | 593330956 - FLORIDA BRACE LIMB INC | FL | Prosthetist (224P00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS V2628 vs. Other Eye Prosthetics and Services Codes
The HCPCS V2628 code is part of the Vision Services services used for Eye Prosthetics and Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS V2628 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| V2627-HCPCS | High | Scleral cover shell |
| V2628-HCPCS | Moderate | Fabrication and fitting of ocular conformer |
| V2629-HCPCS | Moderate | Prosthetic eye, other type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2628 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS V2628) and we'll show you how you compare in 15 minutes or less.