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Enlargement of Ocular Prosthesis

Kentucky rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

How much does Enlargement of Ocular Prosthesis cost?

$347

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $692 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 6 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$347$288 to $427
FacilityA hospital or hospital-owned outpatient department$692$525 to $692

How much rates vary

Facilitymedian $692 · 10th to 90th $380 to $692Professionalmedian $347 · 10th to 90th $182 to $479
$200$500facility $692professional $347

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. 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
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$346.74

Where Kentucky sits

The same service costs 2.2 times more in Wyoming than in Rhode Island. 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.

Kentucky· 42nd of 51

$347

WY $501RI $229

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.