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Prosthetic Eye, Plastic, Custom

New York rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$1,230

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,175 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 9 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$1,230$832 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,175$759 to $1,479

How much rates vary

Facilitymedian $1,175 · 10th to 90th $575 to $2,570Professionalmedian $1,230 · 10th to 90th $537 to $2,512
$500$1K$2K$5K$10K$20K$50Kfacility $1,175professional $1,230

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
$398.11
Median
$758.58
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$3,311.31
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,148.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,344.23
Typical High
$5,495.41
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,949.84
Typical High
$2,754.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,380.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$912.01
Typical High
$2,344.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$1,412.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,412.54

Where New York 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 York· 5th of 51

$1,230

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.