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Moderate Sedation For A Procedure (Young Child)

North Dakota 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 $69 · 10th–90th $23$5010%10%10th90th$69Professionalmedian $68 · 10th–90th $25$1740%5%10%10th90th$68$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
$22.91
Median
$74.13
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$63.10
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$56.23
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$60.26
Typical High
$151.36