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Polishing/Resurfacing of Ocular Prosthesis

Tennessee rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $389$3890%50%100%$389Professionalmedian $59 · 10th–90th $33$760%20%40%10th90th$59$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$42.66