go back

Utah rates for HCPCS V2430

Variable asphericity lens, bifocal, full field, glass or plastic, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $109.65 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $131.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $173.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $97.72