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Moderate Sedation For A Procedure (Young Child)

New Mexico 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 $63 · 10th–90th $25$1780%10%10th90th$63Professionalmedian $55 · 10th–90th $22$1200%10%10th90th$55$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$89.13
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$54.95
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$41.69
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$56.23
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$83.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$56.23
Typical High
$131.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$66.07
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$63.10
Typical High
$147.91