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Utah rates for HCPCS V2200

Sphere, bifocal, plano to plus or minus 4.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $52.48 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $47.86 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $77.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $67.61 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.90 / $46.77