HCPCS V2623
Prosthetic eye, plastic, custom
Current code21 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,291 – $1,420 | — | — |
| Deaconess Medical Center | $1,291 – $1,420 | — | — |
| Kadlec Regional Medical Center | $1,317 – $1,581 | — | — |
| Mary Bridge Children's Hospital | $1,291 – $1,420 | — | — |
| MultiCare Auburn Medical Center | $1,291 – $1,420 | — | — |
| MultiCare Covington Medical Center | $1,291 – $1,420 | — | — |
| MultiCare Good Samaritan Hospital | $1,291 – $1,420 | — | — |
| MultiCare Valley Hospital | $1,330 – $1,420 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,317 – $1,370 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,317 – $1,581 | — | — |
| Providence Centralia Hospital | $1,317 – $2,107 | — | — |
| Providence Regional Medical Center Everett | $1,317 – $1,449 | — | — |
| Providence St Peter Hospital | $1,317 – $2,107 | — | — |
| Swedish Edmonds Hospital | $1,317 – $1,581 | — | — |
| Swedish Issaquah | $1,317 – $1,581 | — | — |
| Swedish Medical Center | $1,317 – $1,581 | — | — |
| Swedish Medical Center / Cherry Hill | $1,317 – $1,581 | — | — |
| Tacoma General Allenmore Hospital | $1,291 – $1,420 | — | — |
| Virginia Mason Medical Center | $904 – $1,356 | $1,032 | $2,023 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,291 – $1,446 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $1,317 (fee)