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Utah rates for HCPCS D9230

Administration Of Nitrous Oxide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $24.55