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Prosthetic Eye, Plastic, Custom

Missouri rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$955

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $933 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 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$933$759 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,148$851 to $1,175

How much rates vary

Facilitymedian $1,148 · 10th to 90th $708 to $2,344Professionalmedian $933 · 10th to 90th $562 to $2,291
$500$1K$2K$5Kfacility $1,148professional $933

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
$831.76
Median
$831.76
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$6,309.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$2,089.30
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,047.13

Where Missouri 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.

Missouri· 26th of 51

$955

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.