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Polishing/Resurfacing of Ocular Prosthesis

Hawaii rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Professionalmedian $46 · 10th–90th $30$810%20%10th90th$46$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
$37.15
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$64.57
HMSA
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$63.10