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Utah rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $44.53 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $32.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.79 / $59.39 / $65.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $33.34 / $55.57