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Polishing/Resurfacing of Ocular Prosthesis

Utah rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Professionalmedian $59 · 10th–90th $30$850%20%10th90th$59$50.0$100.0

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
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$85.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$95.50
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$54.95