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Enlargement of Ocular Prosthesis

Connecticut rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$224

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $204 to $363.

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.

How much rates vary

Facilitymedian $457 · 10th to 90th $355 to $550Professionalmedian $224 · 10th to 90th $200 to $363
$200$500facility $457professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$281.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$40.74
Typical High
$56.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.20
Median
$30.20
Typical High
$42.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.42
Median
$20.42
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$457.09
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$223.87
Typical High
$257.04

Where Connecticut sits

The same service costs 2.8 times more in Montana than in Florida. 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.

Connecticut· 50th of 51

$224

MT $603FL $219

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.