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Utah rates for HCPCS V2211

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $72.44 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $107.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $117.49 / $117.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $44.67 / $66.07