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Polishing/Resurfacing of Ocular Prosthesis

Indiana rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $30$950%50%90th$30Professionalmedian $56 · 10th–90th $33$740%20%10th90th$56$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$56.23
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$91.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$48.98