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Utah rates for HCPCS V2314

Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $107.15 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $128.82 / $147.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $97.72