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Utah rates for HCPCS V2301

Sphere Trifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $56.72 / $94.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.09 / $91.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $46.07 / $69.39