Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS V2625 Fee Schedule
HCPCS V2625 is classified under Vision Services, in the Eye Prosthetics and Services subgroup.
Enlargement of ocular prosthesis
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Eye Prosthetics and Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $473.035 median of the 8 states in the free preview · View Medicaid rates for V2625 |
National average reimbursement for HCPCS V2625 by major payers:
$486.72
BCBS / Anthem
$267.81
UnitedHealthcare
$385.01
Aetna
$438.02
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2625.
HCPCS V2625
5 of 25 sample ratesHigher to lower in this preview
Florida Clinical Practice Association Inc
$1,072.82Published ratePulmonary Associates, Inc.
Pulmonary Associates, P.A.
$317.95Published rateSng Labs-Sng Prosthetic Eye Institute, Inc.
Sng Labssng Prosthetic Eye Institute Inc
$231.19Published rateScotts Medical Supply Inc.
Scotts Medical Supply Inc
$187.83Published rateM & M Rehab Inc, Mid-Florida Prosthetics & Orthotics
M M Rehab Inc
$150.08Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS V2625 vs. Other Eye Prosthetics and Services Codes
The table lists codes related to V2625. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2624-HCPCS | Low | Polishing/resurfacing of ocular prosthesis |
| V2625-HCPCS | Moderate | Enlargement of ocular prosthesis |
| V2626-HCPCS | Moderate | Reduction of ocular prosthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2625 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS V2625) and we'll show you how you compare in 15 minutes or less.