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Moderate Sedation For A Procedure (Young Child)

Idaho 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 $162 · 10th–90th $31$4270%20%40%10th90th$162Professionalmedian $56 · 10th–90th $23$1150%5%10th90th$56$20.0$50.0$100.0$200.0$500.0$1.0K

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
$407.38
Median
$407.38
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$53.70
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$173.78
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$83.18
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$56.23
Typical High
$134.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$61.66
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$66.07
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$39.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$117.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$57.54
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$56.23
Typical High
$138.04