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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
$17.32 / $35.46 / $49.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.77 / $60.00 / $67.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $26.83 / $44.72