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Artificial Iris Implant

California rates for HCPCS 0616T

Implants an artificial iris, the colored ring of the eye, where the natural iris is missing or badly damaged after injury, previous surgery, or a condition present from birth. Restoring that ring cuts the glare and light sensitivity that come from an opening which can no longer narrow, and it also restores the eye's normal appearance.

Rates data updated July 2026.

How much does Artificial Iris Implant cost?

$10,233

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $6,607 to $13,804.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,233 · 10th to 90th $6,026 to $17,783Professionalmedian $4,365 · 10th to 90th $398 to $4,365
$200$500$1K$2K$5K$10K$20Kfacility $10,233professional $4,365

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,232.93
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$83,176.38
Typical High
$83,176.38
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16

Where California sits

The same service costs 28.8 times more in California than in Oregon. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 1st of 43

$10,233

CA $10,233OR $355

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.