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Utah rates for HCPCS V2113

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $50.36 / $76.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.73 / $62.08 / $75.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $37.57 / $56.59