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Polishing/Resurfacing of Ocular Prosthesis

California rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $42$1410%20%10th90th$74Professionalmedian $59 · 10th–90th $30$850%10%10th90th$59$20.0$50.0$100.0$200.0$500.0$1.0K

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
$58.88
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$100.00
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$81.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$93.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$79.43
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$74.13