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Utah rates for HCPCS V2502

Contact lens PMMA, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $151.36 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $151.36 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $204.17 / $245.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $138.04