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Utah rates for HCPCS V2503

Contact Lens, Pmma,Color Vision Deficiency,Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $115.62 / $165.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $80.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $149.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $84.11 / $126.70