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Moderate Sedation For A Procedure (Young Child)

Virginia 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 $50 · 10th–90th $22$1660%5%10th90th$50Professionalmedian $54 · 10th–90th $22$1070%5%10%10th90th$54$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
$25.70
Median
$97.72
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$56.23
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.84
Typical High
$42.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$60.26
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$56.23
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$28.84
Typical High
$51.29
Sentara
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$53.70
Typical High
$134.90