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Enlargement of Ocular Prosthesis

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $275 to $398.

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.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $457 to $1,778Professionalmedian $380 · 10th to 90th $182 to $479
$200$500$1K$2Kfacility $1,380professional $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. 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
$380.19
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$977.24
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$457.09
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$489.78
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,778.28
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$363.08

Where Pennsylvania 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.

Pennsylvania· 33rd 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.