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Moderate Sedation For A Procedure (Young Child)

Utah 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 $129 · 10th–90th $28$1510%20%40%10th90th$129Professionalmedian $63 · 10th–90th $25$1380%5%10%10th90th$63$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
$28.18
Median
$128.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$64.57
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$58.88
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$51.29
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$61.66
Typical High
$138.04
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$75.86
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$61.66
Typical High
$131.83