go back

Prosthetic Eye, Plastic, Custom

Hawaii rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$4,898

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $832 to $4,898.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $417 to $3,548Professionalmedian $4,898 · 10th to 90th $398 to $5,129
$500$1K$2K$5Kfacility $776professional $4,898

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,819.70
Typical High
$2,238.72
HMSA
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$2,951.21

Where Hawaii sits

The same service costs 7.6 times more in Hawaii than in Vermont. 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.

Hawaii· 1st of 51

$4,898

HI $4,898VT $646

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.