HCPCS V2624
Polishing/resurfacing of ocular prosthesis
Current code21 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $85.63 – $664 | — | — |
| Deaconess Medical Center | $119 – $414 | — | — |
| Kadlec Regional Medical Center | $150 – $279 | — | — |
| Mary Bridge Children's Hospital | $85.63 – $729 | — | — |
| MultiCare Auburn Medical Center | $83.25 – $429 | — | — |
| MultiCare Covington Medical Center | $83.25 – $429 | — | — |
| MultiCare Good Samaritan Hospital | $96.60 – $429 | — | — |
| MultiCare Valley Hospital | $95.14 – $413 | — | — |
| Overlake Hospital Medical Center & Clinics | $91.14 – $273 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $154 – $330 | — | — |
| Providence Centralia Hospital | $168 – $372 | — | — |
| Providence Regional Medical Center Everett | $119 – $231 | — | — |
| Providence St Peter Hospital | $84.47 – $324 | — | — |
| Swedish Edmonds Hospital | $149 – $365 | — | — |
| Swedish Issaquah | $149 – $221 | — | — |
| Swedish Medical Center | $149 – $355 | — | — |
| Swedish Medical Center / Cherry Hill | $149 – $355 | — | — |
| Tacoma General Allenmore Hospital | $83.25 – $429 | — | — |
| Virginia Mason Medical Center | $95.14 – $346 | — | — |
| Wellfound Behavioral Health Hospital | $251 | — | — |
| Yakima Valley Memorial | $85.63 – $258 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $99.38 (fee)