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Enlargement of Ocular Prosthesis

Washington, DC rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$295

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $224 to $295.

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 $295 · 10th to 90th $295 to $295Professionalmedian $295 · 10th to 90th $219 to $295
$200$500facility $295professional $295

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
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$295.12
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$144.54
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$58.88
Typical High
$75.86
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.88
Median
$43.65
Typical High
$56.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.91
Median
$29.51
Typical High
$38.02
CareFirst
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$645.65
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$223.87
Typical High
$354.81

Where Washington, DC 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.

Washington, DC· 32nd of 51

$295

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.