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Enlargement of Ocular Prosthesis

Vermont 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 Vermont, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $219 to $347.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $224 · 10th to 90th $219 to $372
$200$500$1Kprofessional $224

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
Professional
Modifier
None
Typical Low
$204.17
Median
$251.19
Typical High
$363.08
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$125.89
Typical High
$181.97
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$50.12
Typical High
$72.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.20
Median
$37.15
Typical High
$54.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.42
Median
$25.12
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$588.84
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$371.54

Where Vermont 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.

Vermont· 47th 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.