HCPCS, CPT and Anesthesia Fee Resources
Fee Schedule
Starting 1/1/2012 Utah Medicaid is no longer posting the fee schedule in a spreadsheet format. Please search for the code using the new
Fee Schedule Lookup Tool opens in a new tab
Current Dental Terminology, fourth edition (CDT) (including procedure codes, definitions (descriptors) and other data) is copyrighted by the American Dental Association.
© 2008 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.
Utah Medicaid Anesthesia Fee Schedule
Use this information to determine the applicable fee for anesthesia codes billed to Utah Medicaid based on anesthesia base units. To determine the anesthesia base units for any given code please use the
Fee Schedule Lookup Tool opens in a new tab
Use the formula below to calculate the total reimbursement amount for anesthesia codes billed to Utah Medicaid.
Use the table below to determine the conversion factor for the applicable date of service.
Start Date | Factor |
7/1/2015 - To current | $23.73 |
7/1/2013 | $18.27 |
7/1/2012 | $18.27 |
5/25/2009 | $17.92 |
10/1/2008 | $17.98 |
7/1/2008 | $18.34 |
10/1/2007 | $17.98 |
7/1/2007 | $17.38 |
7/1/2006 | $17.04 |
7/1/2005 | $16.72 |
7/1/2004 | $15.94 |
10/1/2002 | $15.79 |
7/1/2001 | $15.33 |
5/1/1995 | $14.29 |
General Information | Via U.S. Post Office | Via UPS or FedEx |
801-538-6096 | DHHS, Division of Integrated Healthcare ORCA/Reimbursement PO Box 143325 Salt Lake City, UT 84114-3325 | DHHS, Division of Integrated Healthcare ORCA/Reimbursement 288 North 1460 West Salt Lake City, UT 84116-3231 |