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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
$109.65 / $223.87 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $288.40 / $288.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $295.12 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $199.53