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Utah rates for HCPCS G0117

Glaucoma Screening For High Risk Patients Furnished By An Optometrist Or Ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $55.54 / $71.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.92 / $28.98 / $36.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.84 / $73.15 / $84.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $50.67 / $80.06