Ocular prosthesis enlargement

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Enlargemnt of eye prosthesis

Payers reporting HCPCS V2625

Payer pricing summary

Low

$137

Average

$655

Median

$589

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$488	$501	$139	28%	—	$222 – $2.0k
2	Aetna fee schedule · outpatient · +11 other terms	322	$492	$617	$352	57%	—	$213 – $4.0k
3	Humana fee schedule · outpatient · +9 other terms	316	$502	$737	$739	100%	—	$340 – $3.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	204	$492	$730	$581	80%	—	$0 – $3.1k
5	WellCare fee schedule · outpatient · +4 other terms	202	$497	$514	$80	16%	—	$444 – $884
6	Devoted fee schedule · outpatient · +2 other terms	164	$483	$492	$42	8%	—	$470 – $616
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$497	$490	$37	8%	—	$470 – $622
8	Molina fee schedule · outpatient · +5 other terms	110	$622	$663	$256	39%	—	$396 – $1.2k
9	Cigna fee schedule · outpatient · +8 other terms	95	$574	$599	$182	30%	—	$460 – $1.7k
10	Anthem fee schedule · outpatient · +6 other terms	74	$579	$554	$101	18%	—	$444 – $1.2k
11	Kaiser fee schedule · outpatient · +4 other terms	61	$609	$942	$709	75%	—	$574 – $4.4k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	42	$759	$902	$228	25%	—	$428 – $1.2k
13	Superior Healthplan fee schedule · outpatient	40	$493	$493	$2	0%	—	$460 – $493
14	Clover fee schedule · outpatient · +2 other terms	37	$483	$477	$33	7%	—	$444 – $604
15	Oscar fee schedule · outpatient · +5 other terms	33	$507	$567	$163	29%	—	$460 – $1.0k
16	Optum fee schedule · outpatient · +4 other terms	26	$574	$603	$205	34%	—	$453 – $1.2k
17	Caresource facility · case rate · outpatient · +4 other terms	20	$798	$866	$225	26%	—	$522 – $1.3k
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$621	$603	$37	6%	—	$503 – $633
19	Bcbs Tx fee schedule · outpatient	18	$460	$460	—	—	—	$460 – $460
20	Medicare fee schedule · outpatient · +1 other terms	18	$574	$576	$4	1%	—	$574 – $586
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$579	$574	$11	2%	—	$550 – $579
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$590	$676	$169	25%	—	$321 – $933
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$524	$513	$132	26%	—	$260 – $627
24	Wellmark fee schedule · both · +2 other terms	13	$1.5k	$1.5k	$102	7%	—	$848 – $1.5k
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$482	$479	$4	1%	—	$473 – $482

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