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Utah rates for HCPCS V2203

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $41.36 / $61.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.05 / $58.52 / $64.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $30.97 / $46.65