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Moderate Sedation For A Procedure (Young Child)

Arizona rates for HCPCS 99151

The administration and monitoring of moderate sedation, medication that makes a patient drowsy and comfortable but not fully unconscious, given by the same doctor performing another procedure on a child younger than five. It covers the initial period of sedation, with the doctor overseeing both the sedation and the separate procedure at the same time.

Facilitymedian $69 · 10th–90th $23$1620%5%10%10th90th$69Professionalmedian $59 · 10th–90th $22$1480%5%10%10th90th$59$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$87.10
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$57.54
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$100.00
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$46.77
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$61.66
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$51.29
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$61.66
Typical High
$131.83