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Utah rates for HCPCS V2102

Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $40.51 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $33.45 / $33.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.58 / $91.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.22 / $34.76 / $57.94