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Utah rates for HCPCS 92317

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.96 / $24.96 / $79.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $33.85 / $114.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.36 / $57.66 / $139.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.97 / $57.78 / $72.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.86 / $36.43 / $110.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.46 / $72.15 / $109.71