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Utah rates for HCPCS V2207

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $57.54 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $56.23 / $70.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $77.62 / $83.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.88 / $51.29