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Utah rates for HCPCS 92012

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $75.86 / $141.25
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$9.77 / $95.50 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $75.86 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $134.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $114.82
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $107.15 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $107.15