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Utah rates for HCPCS V2530

Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.22 / $141.88 / $268.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $128.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $259.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.57 / $133.55 / $201.17