Rate Benchmarking
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See a sample rate comparisonHCPCS V2628 Fee Schedule
HCPCS V2628 is classified under Vision Services, in the Eye Prosthetics and Services subgroup.
Fabrication and fitting of ocular conformer
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Eye Prosthetics and Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $366.84 median of the 8 states in the free preview · View Medicaid rates for V2628 |
National average reimbursement for HCPCS V2628 by major payers:
$374.86
BCBS / Anthem
$214.47
UnitedHealthcare
$311.83
Aetna
$299.98
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2628.
HCPCS V2628
5 of 25 sample ratesHigher to lower in this preview
Lincare Inc.
$273.50Published rateJay Ananthan-Nair, Od, PA, Debary Optical/Schmidt Optical
Jay Ananthannair Od PA
$192.00Published rateAmputee Clinic, Inc.
Amputee Clinic Inc
$173.36Published rateM. Davis Management, Inc., Proximed
M. Davis Management, Inc.
$150.78Published rateGulf Coast Orthotics & Prosthetics Center, LLC
$114.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2628 vs. Other Eye Prosthetics and Services Codes
The table lists codes related to V2628. Select one to see its fee schedule.
| 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.
FREE SAMPLE MARKET COMPARISON
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