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Reduction of Ocular Prosthesis

New York rates for HCPCS V2626

Reduction of ocular prosthesis

Rates data updated July 2026.

How much does Reduction of Ocular Prosthesis cost?

$200

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $417 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 9 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$200$138 to $245
FacilityA hospital or hospital-owned outpatient department$417$200 to $437

How much rates vary

Facilitymedian $417 · 10th to 90th $138 to $490Professionalmedian $200 · 10th to 90th $100 to $282
$100$200$500$1Kfacility $417professional $200

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
$100.00
Median
$186.21
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$457.09
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$199.53
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$457.09
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$204.17
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$323.59
Univera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Univera
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$245.47

Where New York 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.

New York· 31st of 51

$200

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.