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Utah rates for HCPCS V2106

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere Over 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $37.28 / $52.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $48.57 / $54.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $27.25 / $41.05