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Utah rates for HCPCS 92355

Fitting of spectacle mounted low vision aid; telescopic or other compound lens system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.75 / $44.75 / $44.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $30.15 / $44.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $29.90 / $41.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $25.65 / $37.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.87 / $27.63 / $29.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $20.93 / $49.98