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Utah rates for HCPCS V2202

Sphere Bifocal Plus Or Minus 7.12 To Plus Or Minus 20.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.42 / $51.84 / $69.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $83.19 / $100.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $39.36 / $59.31