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Utah rates for HCPCS V2300

Sphere, trifocal, plano to plus or minus 4.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $67.61 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $63.10 / $79.43
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $58.88