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Utah rates for HCPCS V2213

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $81.28 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $123.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $69.18