Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Fabrication & fitting
Boulder, CO
See all hospitals reporting HCPCS V2628 →Price type
Boulder Community Health’s median price of $463 is 10% above the median hospital's median price ($421), higher than 58% of the 805 hospitals reporting HCPCS V2628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $298 | $298 | — | — | — | $298 – $298 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $414 | $414 | — | — | — | $414 – $414 |
| 3 | Healthpartners managed medicaid professional · fee schedule · both | $414 | $414 | — | — | — | $414 – $414 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $447 | $447 | $50 | 11% | — | $397 – $497 |
| 5 | Anthem commercial professional · fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 6 | Anthem managed care professional · fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 9 | Humana medicare advantage professional · fee schedule · both | $497 | $497 | — | — | — | $497 – $497 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $509 | $509 | $2 | 0% | — | $507 – $512 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $536 | $536 | — | — | — | $536 – $536 |
| 15 | Aetna commercial professional · fee schedule · both | $596 | $596 | $182 | 31% | — | $414 – $778 |
| 16 | Kaiser commercial professional · fee schedule · both | $636 | $636 | — | — | — | $636 – $636 |
| 17 | MultiPlan commercial professional · fee schedule · both | $764 | $764 | — | — | — | $764 – $764 |
| 18 | Phcs commercial professional · fee schedule · both | $764 | $764 | — | — | — | $764 – $764 |
| 19 | Kaiser commercial facility · case rate · outpatient | $1.1k | $1.1k | $131 | 12% | — | $953 – $1.2k |
| 20 | Kaiser managed care facility · case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Sep 16, 2026
See Ocular conformer fabrication and fitting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.