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Utah rates for HCPCS 92250

Fundus Photography W/Interpretation & Report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.44 / $116.60 / $1,897.34
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.85 / $26.85 / $26.85
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$56.59 / $225.52 / $272.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $73.02 / $167.03
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$71.59 / $71.59 / $71.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.23 / $26.85 / $85.42
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.42 / $234.74 / $234.74
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.73 / $28.78 / $120.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.27 / $55.64 / $115.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.98 / $83.44 / $126.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.09 / $30.98 / $44.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.88 / $54.01 / $83.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $29.37 / $43.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.54 / $242.20 / $352.96
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$203.75 / $203.75 / $203.75
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$203.75 / $203.75 / $203.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $51.31 / $111.58
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.34 / $28.71 / $36.68
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.13 / $22.59 / $76.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.18 / $64.76 / $108.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.80 / $24.64 / $38.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.44 / $39.17 / $74.97