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Enlargement of Ocular Prosthesis

Texas 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 Texas, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $407 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$288 to $407
FacilityA hospital or hospital-owned outpatient department$407$347 to $468

How much rates vary

Facilitymedian $407 · 10th to 90th $282 to $603Professionalmedian $380 · 10th to 90th $186 to $479
$200$500$1K$2Kfacility $407professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$467.74
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,311.31
Typical High
$3,311.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96

Where Texas 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.

Texas· 36th 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.