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Prosthetic Eye, Plastic, Custom

Maine rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$1,000

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,349 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 6 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$1,000$646 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,349$1,072 to $1,349

How much rates vary

Facilitymedian $1,349 · 10th to 90th $724 to $1,549Professionalmedian $1,000 · 10th to 90th $447 to $2,291
$500$1K$2Kfacility $1,349professional $1,000

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
$446.68
Median
$724.44
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,202.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$977.24
Typical High
$1,000.00

Where Maine 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.

Maine· 17th of 51

$1,000

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.