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Enlargement of Ocular Prosthesis

Michigan rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$468

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $1,230 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$468$407 to $550
FacilityA hospital or hospital-owned outpatient department$1,230$891 to $2,042

How much rates vary

Facilitymedian $1,230 · 10th to 90th $575 to $2,692Professionalmedian $468 · 10th to 90th $269 to $575
$200$500$1K$2K$5Kfacility $1,230professional $468

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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$416.87
Typical High
$467.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$208.93
Typical High
$234.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$83.18
Typical High
$93.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$63.10
Typical High
$70.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$41.69
Typical High
$46.77
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,698.24
Typical High
$3,235.94
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$676.08
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$1,096.48
Typical High
$1,202.26
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$467.74
Typical High
$467.74
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$213.80
Median
$234.42
Typical High
$234.42
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$85.11
Median
$93.33
Typical High
$93.33
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$64.57
Median
$70.79
Typical High
$70.79
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$42.66
Median
$46.77
Typical High
$46.77
Priority Health
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$416.87
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$263.03
Typical High
$346.74

Where Michigan 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.

Michigan· 13th of 51

$468

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.