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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