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Moderate Sedation For A Procedure (Young Child)

South Carolina 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 $155 · 10th–90th $25$3390%5%10%10th90th$155Professionalmedian $54 · 10th–90th $23$1120%10%10th90th$54$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
$60.26
Median
$199.53
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$53.70
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$60.26
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$61.66
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$58.88
Typical High
$104.71