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Enlargement of Ocular Prosthesis

Illinois rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$398

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,202 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$288 to $468
FacilityA hospital or hospital-owned outpatient department$1,202$794 to $3,090

How much rates vary

Facilitymedian $1,202 · 10th to 90th $708 to $6,761Professionalmedian $398 · 10th to 90th $229 to $575
$200$500$1K$2K$5K$10Kfacility $1,202professional $398

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$398.11
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$199.53
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$81.28
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$60.26
Typical High
$72.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$39.81
Typical High
$48.98
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,445.44
Typical High
$7,762.47
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$575.44
Typical High
$831.76
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$275.42
Typical High
$295.12

Where Illinois 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.

Illinois· 18th of 51

$398

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.