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Utah rates for HCPCS V2110

Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.91 / $40.27 / $64.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $28.19 / $28.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $52.21 / $58.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $29.30 / $44.13