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Moderate Sedation For A Procedure (Young Child)

New Hampshire 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 $43 · 10th–90th $25$1410%10%20%10th90th$43Professionalmedian $55 · 10th–90th $22$1230%5%10%10th90th$55$20.0$50.0$100.0$200.0

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
$24.55
Median
$42.66
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$69.18
Typical High
$158.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$66.07
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$67.61
Typical High
$162.18
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$74.13