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Utah rates for HCPCS V2762

Polarization, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $37.22 / $60.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $30.85 / $30.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $64.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $32.07 / $48.31