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Utah rates for HCPCS V2784

Lens, Polycarbonate Or Equal, Any Index, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $28.60 / $47.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $51.23 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $25.40 / $38.26