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Polishing/Resurfacing of Ocular Prosthesis

Missouri rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $52$1230%20%10th90th$71Professionalmedian $59 · 10th–90th $33$790%20%10th90th$59$1.0$5.0$20.0$100.0$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
Professional
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$52.48