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Enlargement of Ocular Prosthesis

Oregon rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$490

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $589 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$490$219 to $617
FacilityA hospital or hospital-owned outpatient department$589$575 to $589

How much rates vary

Facilitymedian $589 · 10th to 90th $537 to $977Professionalmedian $490 · 10th to 90th $219 to $661
$100$200$500$1K$2Kfacility $589professional $490

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
Professional
Modifier
None
Typical Low
$380.19
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$56.23
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$977.24
Typical High
$1,288.25
Moda Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$489.78
Typical High
$691.83
Moda Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$489.78
Typical High
$575.44
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$218.78
Median
$245.47
Typical High
$245.47
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$87.10
Median
$97.72
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$64.57
Median
$72.44
Typical High
$72.44
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$43.65
Median
$48.98
Typical High
$48.98
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$588.84
Providence
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$660.69
Typical High
$2,344.23
Providence
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$218.78
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$933.25
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$660.69
United
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$977.24
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$223.87
Typical High
$263.03

Where Oregon 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.

Oregon· 11th of 51

$490

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.