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Utah rates for HCPCS 00172

Anesthesia for intraoral procedures, including biopsy; repair of cleft palate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $52.48 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $363.08 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $79.43