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Polishing/Resurfacing of Ocular Prosthesis

Utah rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated October 2026.

How much does Polishing/Resurfacing of Ocular Prosthesis cost?

$36.31

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $77.62 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$33.88 to $66.07
FacilityA hospital or hospital-owned outpatient department$77.62$23.44 to $93.33

How much rates vary

Facilitymedian $78 · 10th to 90th $23 to $95Professionalmedian $36 · 10th to 90th $23 to $66
$50$100facility $78professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$69.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.75
Median
$11.75
Typical High
$34.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.68
Median
$4.68
Typical High
$13.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.55
Median
$3.55
Typical High
$10.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.34
Median
$2.34
Typical High
$6.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$67.61
Typical High
$85.11
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$93.33
Typical High
$141.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Select Health
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Select Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$87.10
Typical High
$95.50
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$95.50
Typical High
$141.25
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$36.31
Typical High
$52.48

Where Utah sits

The same service costs 2.8 times more in Montana than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 47th of 51

$36.31

MT $100AL $36.31

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.