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Utah rates for HCPCS V2020

Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $53.18 / $73.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $71.70 / $86.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $37.54 / $62.57