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Utah rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $52.48 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $61.66 / $72.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $45.71