go back

Utah rates for HCPCS V2523

Contact lens, hydrophilic, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.21 / $115.86 / $180.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $86.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $160.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $90.17 / $135.82