go back

Utah rates for HCPCS V2111

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere .25 To 2.25d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $41.98 / $62.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $54.42 / $60.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $30.54 / $46.00