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Utah rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $45.71 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $61.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $67.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $40.74