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Prosthetic Eye, Plastic, Custom

Illinois rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$1,072

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,549 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$794 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,549$794 to $2,951

How much rates vary

Facilitymedian $1,549 · 10th to 90th $794 to $10,965Professionalmedian $1,047 · 10th to 90th $646 to $1,698
$500$1K$2K$5K$10K$20Kfacility $1,549professional $1,047

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,162.28
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,230.27
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$2,884.03
Typical High
$3,630.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$1,000.00

Where Illinois 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.

Illinois· 12th of 51

$1,072

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.