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Utah rates for HCPCS 92082

Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $51.29 / $81.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $19.95 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $25.70 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $58.88 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $26.30 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $34.67 / $52.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $41.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $66.07 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $31.62 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $35.48 / $39.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $85.11
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $25.70 / $36.31
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $31.62 / $44.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.98 / $70.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $20.89 / $30.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $26.92 / $44.67