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Moderate Sedation For A Procedure (Young Child)

Nebraska 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 $56 · 10th–90th $25$1700%10%10th90th$56Professionalmedian $56 · 10th–90th $22$1380%5%10%10th90th$56$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
$44.67
Median
$128.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$51.29
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$95.50
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$48.98
Typical High
$104.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$114.82
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$147.91
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$154.88