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Utah rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $28.15 / $45.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $55.74 / $61.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $23.46 / $35.33