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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $47.65 / $64.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.19 / $64.83 / $78.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $35.01 / $58.35