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Utah rates for HCPCS V2205

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

Professionalmedian $59 · 10th–90th $28–$680%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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $58.88 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $57.54 / $72.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $79.43 / $79.43
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $81.28 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $52.48