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Polishing/Resurfacing of Ocular Prosthesis

Michigan rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated October 2026.

How much does Polishing/Resurfacing of Ocular Prosthesis cost?

$58.88

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $155 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$51.29 to $69.18
FacilityA hospital or hospital-owned outpatient department$155$117 to $257

How much rates vary

Facilitymedian $155 · 10th to 90th $72 to $339Professionalmedian $59 · 10th to 90th $35 to $72
$20$50$100$200$500facility $155professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$53.70
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$26.92
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.72
Typical High
$11.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.94
Median
$8.13
Typical High
$8.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$5.37
Typical High
$5.89
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$213.80
Typical High
$407.38
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$35.48
Typical High
$85.11
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$141.25
Typical High
$151.36
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$58.88
Typical High
$58.88
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Priority Health
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$60.26
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$34.67
Typical High
$43.65

Where Michigan sits

The same service costs 2.8 times more in Montana than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 24th of 51

$58.88

MT $100AL $36.31

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.