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Alaska 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
$232.86 / $232.86 / $952.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.48 / $190.41 / $190.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.63 / $101.36 / $277.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.97 / $190.41 / $266.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.93 / $238.71 / $330.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.30 / $356.70 / $460.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.97 / $190.41 / $266.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.35 / $218.29 / $479.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.55 / $241.56 / $422.73