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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
$81.28 / $162.18 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $204.17 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $218.78 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $79.43 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $186.21