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Moderate Sedation For A Procedure (Young Child)

North Carolina 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 $155 · 10th–90th $25$3800%10%10th90th$155Professionalmedian $78 · 10th–90th $25$1740%5%10%10th90th$78$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
$32.36
Median
$229.09
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$60.26
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$81.28
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$74.13
Typical High
$141.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$56.23
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$251.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.02
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$61.66
Typical High
$123.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$501.19