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Enlargement of Ocular Prosthesis

New Mexico rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$380

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $355 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$380$224 to $407
FacilityA hospital or hospital-owned outpatient department$355$339 to $513

How much rates vary

Facilitymedian $355 · 10th to 90th $331 to $603Professionalmedian $380 · 10th to 90th $204 to $525
$200$500facility $355professional $380

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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$380.19
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$138.04
Median
$190.55
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$54.95
Median
$75.86
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$40.74
Median
$56.23
Typical High
$72.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$27.54
Median
$38.02
Typical High
$48.98
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$363.08
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Molina
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$707.95
Providence
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$338.84
Typical High
$354.81
Providence
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$223.87
Typical High
$331.13

Where New Mexico 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 Mexico· 22nd of 51

$380

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.