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Utah rates for HCPCS V2304

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere 2.25-4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $53.58 / $73.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $72.02 / $87.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $40.24 / $60.61