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Utah rates for HCPCS V2209

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $64.57 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $87.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $58.88