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Utah rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $35.61 / $50.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $49.81 / $55.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $25.91 / $39.04