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Prosthetic Eye, Plastic, Custom

Indiana rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$871

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,148 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$871$794 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,148$933 to $1,148

How much rates vary

Facilitymedian $1,148 · 10th to 90th $871 to $2,291Professionalmedian $871 · 10th to 90th $617 to $2,512
$500$1K$2K$5Kfacility $1,148professional $871

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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$2,290.87
Typical High
$3,467.37
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$851.14
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$851.14

Where Indiana 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.

Indiana· 34th of 51

$871

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.