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Enlargement of Ocular Prosthesis

New Jersey rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$240

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $174 to $288.

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 $129 · 10th to 90th $129 to $603Professionalmedian $240 · 10th to 90th $129 to $295
$200$500facility $129professional $240

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
$128.82
Median
$128.82
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$295.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$144.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$25.70
Typical High
$58.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$19.05
Typical High
$43.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$12.88
Typical High
$29.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$588.84
Typical High
$588.84
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$251.19
Typical High
$269.15

Where New Jersey 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.

New Jersey· 44th of 51

$240

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.