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Enlargement of Ocular Prosthesis

Ohio rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$288

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $631 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$219 to $427
FacilityA hospital or hospital-owned outpatient department$631$589 to $891

How much rates vary

Facilitymedian $631 · 10th to 90th $537 to $1,000Professionalmedian $288 · 10th to 90th $219 to $427
$200$500$1K$2Kfacility $631professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$436.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$213.80
Typical High
$218.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$85.11
Typical High
$89.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$58.88
Median
$64.57
Typical High
$66.07
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$42.66
Typical High
$43.65
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$630.96
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
CareSource
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Molina
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$524.81
Typical High
$588.84
SummaCare
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$588.84
Typical High
$602.56
United
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$281.84
Typical High
$331.13

Where Ohio 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.

Ohio· 34th of 51

$288

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.