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Utah rates for HCPCS 99100

Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $83.18 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $87.10
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $56.23 / $102.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $131.83 / $263.03