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Utah rates for HCPCS V2321

Lenticular Lens, Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $92.73 / $123.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $67.76 / $67.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $125.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.14 / $70.42 / $106.09