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Utah rates for HCPCS V2201

Sphere Bifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $45.32 / $63.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $32.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $62.91 / $76.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $32.06 / $50.40