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Utah rates for HCPCS 92355

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

Facilitymedian $44 · 10th–90th $44$440%50%100%$44Professionalmedian $22 · 10th–90th $15$440%10%10th90th$22$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $24.55 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $27.54 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $29.51 / $40.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $77.62