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Utah rates for HCPCS V2500

Contact Lens,Pmma,Spherical, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $65.00 / $107.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $91.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $48.67 / $73.31