go back

Prosthetic Eye, Plastic, Custom

Montana rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$1,122

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,122 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$1,047$759 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,122$933 to $1,175

How much rates vary

Facilitymedian $1,122 · 10th to 90th $776 to $1,862Professionalmedian $1,047 · 10th to 90th $347 to $2,188
$100$200$500$1K$2K$5Kfacility $1,122professional $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
Professional
Modifier
Global
Typical Low
$346.74
Median
$912.01
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,187.76
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,187.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,023.29
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$812.83

Where Montana 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.

Montana· 7th of 51

$1,122

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.