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Enlargement of Ocular Prosthesis

New York rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

How much does Enlargement of Ocular Prosthesis cost?

$363

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $692 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$251 to $427
FacilityA hospital or hospital-owned outpatient department$692$372 to $813

How much rates vary

Facilitymedian $692 · 10th to 90th $257 to $912Professionalmedian $363 · 10th to 90th $182 to $525
$200$500$1K$2Kfacility $692professional $363

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. Small sample; interpret with caution. 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
$346.74
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$870.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$371.54
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$977.24
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$380.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$602.56
Univera
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Univera
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$457.09

Where New York 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 York· 37th of 51

$363

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.