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Utah rates for HCPCS V2315

Lenticular,(Myodisc), Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $97.75 / $127.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $127.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $71.45 / $107.63