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
Isle, ME
See all hospitals reporting HCPCS V2628 →Price type
The Aroostook Medical Center’s median price of $302 is 28% below the median hospital's median price ($421), higher than 11% 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: 5 payers, 13 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 | Cigna commercial professional · fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $226 | $186 | $114 | 62% | — | $30 – $302 |
| 3 | Anthem enhanced pathways professional · fee schedule · outpatient | $226 | $186 | $114 | 62% | — | $30 – $302 |
| 4 | Aetna commercial professional · fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 5 | Aetna mcr advantage professional · fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 6 | Anthem enhanced pathways facility · fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 8 | Aetna mcr advantage facility · fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 9 | Anthem mcr advantage facility · fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 10 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 11 | WellCare mcr advantage facility · fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 12 | Anthem commercial facility · fee schedule · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 13 | UnitedHealthcare commercial professional · fee schedule · outpatient | $506 | $506 | — | — | — | $506 – $506 |
Last updated: Mar 30, 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.