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Utah rates for HCPCS V2313

Spherocylinder, trifocal, 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
$48.98 / $100.00 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $109.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.23 / $158.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $91.20