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Enlargement of Ocular Prosthesis

South Dakota rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

How much does Enlargement of Ocular Prosthesis cost?

$479

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $479 for this service. Most negotiated rates run $437 to $575.

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.

How much rates vary

Facilitymedian $589 · 10th to 90th $407 to $1,000Professionalmedian $479 · 10th to 90th $269 to $661
$200$500$1Kfacility $589professional $479

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
$275.42
Median
$478.63
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$2,951.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11

Where South Dakota 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.

South Dakota· 5th of 51

$479

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.