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Polishing/Resurfacing of Ocular Prosthesis

Oregon rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $72$980%20%40%10th90th$93Professionalmedian $63 · 10th–90th $30$950%10%20%10th90th$63$20.0$50.0$100.0$200.0

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
$30.20
Median
$60.26
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$204.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$109.65
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$97.72
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$97.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$79.43
Typical High
$97.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$36.31
Typical High
$57.54