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Moderate Sedation For A Procedure (Young Child)

Maryland 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.

Professionalmedian $58 · 10th–90th $22$1320%5%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
Professional
Modifier
Global
Typical Low
$21.88
Median
$58.88
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$56.23
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$58.88
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$93.33