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Utah rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.96 / $58.96 / $91.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.76 / $73.81 / $107.60
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$9.80 / $84.97 / $173.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.01 / $76.58 / $142.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $85.61 / $110.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.68 / $89.54 / $123.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.56 / $79.68 / $123.48