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Enlargement of Ocular Prosthesis

Virginia rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated October 2026.

How much does Enlargement of Ocular Prosthesis cost?

$275

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $457 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$224 to $347
FacilityA hospital or hospital-owned outpatient department$457$457 to $501

How much rates vary

Facilitymedian $457 · 10th to 90th $295 to $977Professionalmedian $275 · 10th to 90th $219 to $562
$200$500$1K$2K$5K$10Kfacility $457professional $275

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$40.74
Median
$40.74
Typical High
$45.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$27.54
Median
$27.54
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$457.09
Typical High
$549.54
Medcost
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$416.87
Medcost
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$660.69
Medcost
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$354.81
Sentara
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$512.86
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$316.23
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$223.87
Typical High
$251.19

Where Virginia 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.

Virginia· 37th of 51

$275

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.