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Moderate Sedation For A Procedure (Young Child)

Kansas 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 $55 · 10th–90th $24$2630%10%10th90th$55Professionalmedian $58 · 10th–90th $23$1150%10%10th90th$58$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
$16.22
Median
$77.62
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$56.23
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$58.88
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$60.26
Typical High
$109.65