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Polishing/Resurfacing of Ocular Prosthesis

Minnesota rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $72 · 10th–90th $56$2190%20%10th90th$72Professionalmedian $74 · 10th–90th $36$850%20%10th90th$74$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$457.09
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$83.18