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Polishing/Resurfacing of Ocular Prosthesis

Massachusetts rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $60$1070%20%10th90th$71Professionalmedian $59 · 10th–90th $30$790%10%20%10th90th$59$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
$30.20
Median
$58.88
Typical High
$79.43
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$107.15
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$64.57
Typical High
$64.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$107.15
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$64.57