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Utah rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $24.55 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $56.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $32.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $33.88