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Polishing/Resurfacing of Ocular Prosthesis

Washington rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $52$1780%10%20%10th90th$93Professionalmedian $59 · 10th–90th $30$950%10%20%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$79.43
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$81.28
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
$93.33
Median
$97.72
Typical High
$97.72
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$95.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$85.11