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Utah rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $9.57 / $14.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $12.41 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $6.96 / $10.48