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Utah rates for HCPCS V2114

Spherocylinder Single Vision Sphere Over Plus Or Minus 12.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $54.41 / $85.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $81.48 / $98.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $40.70 / $61.31