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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
$56.00 / $56.00 / $199.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $56.00 / $199.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $70.75 / $96.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $78.93 / $86.27