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Utah rates for HCPCS V2303

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $67.61 / $77.62
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 / $60.26 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $57.54