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Bifocal Lens, Sphere Plano to +/-4.00d, Cylinder 4.25-6.00d

Utah rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Rates data updated July 2026.

Professionalmedian $59 · 10th–90th $29$790%20%10th90th$59$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$58.88
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$57.54
Typical High
$72.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$81.28
Typical High
$91.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$52.48