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Reduction of Ocular Prosthesis

Massachusetts rates for HCPCS V2626

Reduction of ocular prosthesis

Rates data updated July 2026.

How much does Reduction of Ocular Prosthesis cost?

$195

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $234 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 7 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$195$126 to $229
FacilityA hospital or hospital-owned outpatient department$234$60.26 to $245

How much rates vary

Facilitymedian $234 · 10th to 90th $60 to $355Professionalmedian $195 · 10th to 90th $100 to $251
$100$200$500facility $234professional $195

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$354.81
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$208.93
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$354.81
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$208.93

Where Massachusetts sits

The same service costs 2.1 times more in Montana 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.

Massachusetts· 36th of 51

$195

MT $263RI $123

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.