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Polishing/Resurfacing of Ocular Prosthesis

Minnesota rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated October 2026.

How much does Polishing/Resurfacing of Ocular Prosthesis cost?

$85.11

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $83.18 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$85.11$61.66 to $85.11
FacilityA hospital or hospital-owned outpatient department$83.18$61.66 to $170

How much rates vary

Facilitymedian $83 · 10th to 90th $62 to $302Professionalmedian $85 · 10th to 90th $29 to $107
$50$100$200$500facility $83professional $85

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$85.11
Typical High
$114.82
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$269.15
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$89.13
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$251.19
Typical High
$602.56
Health Partners
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Medica
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$72.44
Typical High
$104.71
Medica
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.20
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$28.84
Typical High
$42.66

Where Minnesota 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.

Minnesota· 2nd of 51

$85.11

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.