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Prosthetic Eye, Plastic, Custom

New Hampshire 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 New Hampshire, 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 $1,148 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$1,000$724 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,148$537 to $1,230

How much rates vary

Facilitymedian $1,148 · 10th to 90th $447 to $1,413Professionalmedian $1,000 · 10th to 90th $537 to $2,291
$500$1K$2Kfacility $1,148professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
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
$524.81
Typical High
$776.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,000.00
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,445.44

Where New Hampshire 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.

New Hampshire· 18th 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.