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Polishing/Resurfacing of Ocular Prosthesis

Nebraska rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $56$1290%20%10th90th$74Professionalmedian $60 · 10th–90th $39$790%20%40%10th90th$60$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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$85.11
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$36.31
Typical High
$57.54