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Enlargement of Ocular Prosthesis

Montana rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $380$7080%50%10th90th$575Professionalmedian $479 · 10th–90th $224$5750%50%10th90th$479$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$707.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$331.13