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Utah rates for HCPCS V2513

Contact Lens,Gas Permeable,Extended Wear, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $129.44 / $200.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $91.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $168.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.15 / $94.70 / $142.65