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Utah rates for HCPCS V2630

Anterior Chamber Intraocular Lens (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $119.86 / $220.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $58.29 / $58.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $127.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $157.16 / $157.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.44 / $60.58 / $111.81