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Enlargement of Ocular Prosthesis

Virginia rates for HCPCS V2625

Enlargement of ocular prosthesis

Rates data updated July 2026.

How much does Enlargement of Ocular Prosthesis cost?

$302

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $355 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 8 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$295$234 to $389
FacilityA hospital or hospital-owned outpatient department$355$295 to $427

How much rates vary

Facilitymedian $355 · 10th to 90th $263 to $501Professionalmedian $295 · 10th to 90th $182 to $490
$200$500$1K$2Kfacility $355professional $295

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
$181.97
Median
$295.12
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$263.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$457.09
Sentara
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$295.12

Where Virginia 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.

Virginia· 47th of 51

$302

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.