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Prosthetic Eye, Plastic, Custom

Tennessee rates for HCPCS V2623

Prosthetic eye, plastic, custom

Rates data updated July 2026.

How much does Prosthetic Eye, Plastic, Custom cost?

$871

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,585 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 5 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$871$692 to $912
FacilityA hospital or hospital-owned outpatient department$1,585$776 to $6,918

How much rates vary

Facilitymedian $1,585 · 10th to 90th $603 to $6,918Professionalmedian $871 · 10th to 90th $525 to $1,023
$500$1K$2K$5K$10Kfacility $1,585professional $871

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
$891.25
Median
$1,584.89
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$10,471.29
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$758.58

Where Tennessee 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.

Tennessee· 35th of 51

$871

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.