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Moderate Sedation For A Procedure (Young Child)

Missouri 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 $59 · 10th–90th $25$980%10%10th90th$59Professionalmedian $52 · 10th–90th $23$1230%10%10th90th$52$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
$25.12
Median
$36.31
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$54.95
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$24.55
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$63.10
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$58.88
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$58.88
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$109.65