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Nationwide rates for HCPCS 99155

Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.97 / $110.80 / $207.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $96.15 / $186.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.41 / $186.90 / $486.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $93.58 / $151.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.46 / $95.46 / $95.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $113.49 / $182.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.68 / $111.25 / $187.07