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Utah rates for HCPCS V2755

U-V Lens Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $10.57 / $18.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $18.72 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.94 / $14.99