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Enlargement of Ocular Prosthesis

Utah rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$224

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $490 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$209 to $417
FacilityA hospital or hospital-owned outpatient department$490$145 to $589

How much rates vary

Facilitymedian $490 · 10th to 90th $145 to $603Professionalmedian $224 · 10th to 90th $145 to $427
$200$500$1Kfacility $490professional $224

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$426.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$70.79
Typical High
$208.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$28.84
Typical High
$85.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$63.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$14.45
Typical High
$42.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Molina
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$588.84
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Select Health
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Select Health
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$588.84
Typical High
$616.60
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$602.56
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$223.87
Typical High
$316.23

Where Utah 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.

Utah· 46th of 51

$224

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.