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Utah rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.95 / $33.40 / $51.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $58.74 / $65.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $24.71 / $41.19