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Polishing/Resurfacing of Ocular Prosthesis

Alaska rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $42$1000%20%10th90th$45Professionalmedian $52 · 10th–90th $30$850%20%10th90th$52$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$51.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$42.66
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$95.50
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$42.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$31.62
Typical High
$162.18