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Moderate Sedation For A Procedure (Young Child)

New Jersey 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 $79 · 10th–90th $25$1410%10%10th90th$79Professionalmedian $65 · 10th–90th $22$1480%5%10%10th90th$65$10.0$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
$79.43
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$57.54
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$63.10
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$141.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$54.95
Typical High
$123.03