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Utah rates for HCPCS 92575

Sensorineural acuity level test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.86 / $112.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $117.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $100.00 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $63.10 / $97.72