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Utah rates for HCPCS 92015

Determination Refractive State

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $22.62 / $31.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $22.62 / $34.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $26.03 / $35.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $33.78 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $24.23 / $32.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $20.57 / $33.83