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Enlargement of Ocular Prosthesis

New Mexico rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

How much does Enlargement of Ocular Prosthesis cost?

$380

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $275 to $447.

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.

How much rates vary

Facilitymedian $398 · 10th to 90th $251 to $603Professionalmedian $380 · 10th to 90th $182 to $490
$200$500$1Kfacility $398professional $380

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$524.81
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$331.13

Where New Mexico 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.

New Mexico· 35th of 51

$380

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.