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Enlargement of Ocular Prosthesis

Tennessee rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$363

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $219 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $398 · 10th to 90th $398 to $398Professionalmedian $363 · 10th to 90th $204 to $3,020
$200$500$1K$2Kfacility $398professional $363

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$398.11
Typical High
$426.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$151.36
Median
$194.98
Typical High
$208.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$60.26
Median
$79.43
Typical High
$85.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$45.71
Median
$58.88
Typical High
$63.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$30.20
Median
$39.81
Typical High
$42.66
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$234.42

Where Tennessee 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.

Tennessee· 25th of 51

$363

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.