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Utah rates for HCPCS V2512

Contact lens, gas permeable, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $150.63 / $234.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.53 / $108.53 / $108.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $183.90 / $222.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.32 / $112.80 / $169.92