Rate Benchmarking
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See a sample rate comparisonHCPCS V2626 Fee Schedule
HCPCS V2626 is classified under Vision Services, in the Eye Prosthetics and Services subgroup.
Reduction of ocular prosthesis
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Eye Prosthetics and Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $244.45 median of the 8 states in the free preview · View Medicaid rates for V2626 |
National average reimbursement for HCPCS V2626 by major payers:
$260.53
BCBS / Anthem
$146.41
UnitedHealthcare
$221.38
Aetna
$197.48
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2626.
HCPCS V2626
5 of 25 sample ratesHigher to lower in this preview
Sng Labs-Sng Prosthetic Eye Institute, Inc.
Sng Labssng Prosthetic Eye Institute Inc
$227.91Published rateShavone Bellamy
Bella Monique LLC
$149.80Published rateCordano Eye Care Center PA
$135.25Published rateM. Quirantes Orthopedic Appliances, Inc.
M Quirantes Orthopedic Appliances Inc
$113.68Published rateMedcare Services Of Orlando, Inc., Medcare Services
Medcare Services Of Orlando Inc
$55.00Published rate
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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 V2626 vs. Other Eye Prosthetics and Services Codes
The table lists codes related to V2626. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2625-HCPCS | Moderate | Enlargement of ocular prosthesis |
| V2626-HCPCS | Moderate | Reduction of ocular prosthesis |
| V2627-HCPCS | High | Scleral cover shell |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2626. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2626 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
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Bring your top codes (like HCPCS V2626) and we'll show you how you compare in 15 minutes or less.