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Utah rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $60.54 / $94.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $76.38 / $92.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $45.34 / $68.29