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Polishing/Resurfacing of Ocular Prosthesis

Texas rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $51$980%10%10th90th$74Professionalmedian $65 · 10th–90th $33$830%20%10th90th$65$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
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$52.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$97.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$52.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$131.83