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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
$28.18 / $57.54 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $67.61 / $85.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $52.48