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Utah rates for HCPCS 92002

Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $64.57 / $131.83
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$8.91 / $151.36 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $70.79 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $79.43 / $128.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $81.28 / $109.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $102.33 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $63.10 / $102.33