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Utah rates for HCPCS 92081

Limited Visual Field Xm Uni/Bi I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $46.66 / $57.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.49 / $15.62 / $31.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.96 / $25.82 / $35.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.43 / $46.84 / $62.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.41 / $22.31 / $26.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.01 / $23.87 / $37.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.92 / $28.82 / $36.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $42.50 / $55.34
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.97 / $20.07 / $28.25
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.28 / $22.53 / $27.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.81 / $34.61 / $51.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.62 / $16.50 / $24.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.70 / $18.87 / $31.02